how to apply
FUNDING APPLICATION FORM

Organization Name

Contact Name

Title / Position

Phone

Email

Mission Statement

Vision Statement

Year Founded

Executive Director / CEO

Upload Most Recent 990

Annual Operating Budget

Number of Full-Time Employees

Number of Part-Time Employees

Counties Served

Amount RequestedAmount Requested$2,500$5,000$10,000$25,000Other

If Other Please Specify

What is the project or initiative this grant will fund?

How will this project help you achieve your mission?

What specific community need does this project address?

Who will benefit from this project (number of people and key demographics)?

What is the total budget for this project?

What other funding sources (confirmed or pending) are supporting this project?

How will this grant specifically be used? (Provide a brief line-item summary.)

How will the success of this project be tracked?

What measurable outcomes do you expect within 12 months?

How will you sustain this project or its impact beyond this grant period?

How does this project align with one or more of our Foundation’s core focus areas?How does this project align with one or more of our Foundation’s core focus areas?Children & FamiliesEducationCommunity HealthCommunity Resilience / Sustainability

Describe how your organization demonstrates integrity, stewardship, and lasting impact — values
that align with the Wilson & Johnson Foundation.

Have you previously received funding from the Wilson & Johnson Foundation?Have you previously received funding from the Wilson & Johnson FoundationYesNo

If yes, please list year(s), amount(s), and project(s).

Would you be open to sharing results, photos, or stories for Foundation impact reports or communications?Would you be open to sharing results, photos, or stories for Foundation impact reports or communications?YesNo