Grant Application Form

The Usibelli Foundation provides grants to registered 501(c)(3) nonprofit, charitable organizations in the areas of: Arts, Community, Education, Health, Safety & Social Services, and Youth. The funds provided by the Foundation aim to help preserve Alaska's uniqueness and to strengthen the communities we support.

If you are interested in applying for a grant, please complete the Grant Application Form below. Your application will be eligible only if all required form fields have been completed.

Full Legal Organization Name

Doing Business As (D.B.A.)

Mailing address

Website

Facebook page

Instagram page

Tax Identification #

Logo

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Internal Revenue Service (IRS) letter documenting current federal tax exemption under sections 501(c)(3) or 509(a)

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Primary Contact Information

Name

Phone

Title

Secondary Contact Information

Name

Phone

Title

Arts & Culture

Program, project, or event name/title

Date of program, project, or event

Requested amount

USD

Total program budget

USD

Please provide a list of other major donors and/or businesses supporting your request

Current board of directors

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Please select

Summary of request

Approximate number of people that will benefit from your program, project, or event

Describe the people, organizations, or groups expected to benefit

Upload additional supporting documentation for grant request

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