Applications are accepted during the following periods each year:

Submission Period Notification Begins
February 15 to March 15 April 1
August 15 to September 15 October 1



Please complete the following application form and then click "Submit Application" at the bottom of the page.


Name of Organization and/or Project: 
Timeframe of Proposed Project From:To:
Amount Requested:                          $Applying for $200 or less? Complete our short application.

Contact Name
Address:         
Address 2:      
Telephone:      
Fax:                
Email:             

Have you previously requested a grant from The Connie Fund?Yes   No

Please give a brief overview of your project:


Describe in detail the goals and objectives of your project. How does this project promote the efforts of The Connie Fund?


Detail the population your project will benefit. Please estimate how many people will be affected by this project and in what manner they will benefit from this project.

Which counties will be affected by your project? Check all that apply.
Antelope
Boone
Madison
Pierce
Platte
Stanton
Wayne

Detail the funds and/or in-kind support currently available for your project.


Detail the sustainability of your project.


Detail how you will evaluate the success of your project.


How will you acknowledge The Connie Fund if awarded a grant for this project?


Budget detail: