Application for Funding from Refuse to Sink, Inc.

We fund specific needs and projects in line with our mission across Hendry, Glades, Highlands, Okeechobee, and western Palm Beach County. Fields marked * are required.

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Organization information

Email * Name of your non-profit organization *

Address: street or post office box of organization *

City or town * State * Zip *

Phone number * Contact person name * Contact person title * Email and phone number of contact

Required credentials

Attach a copy of your 501(c)(3) determination letter and your most recent year's financial statement. PDF, JPG, or PNG — up to 10 MB each. Prefer email? Send them to abby@refusetosink.org instead.

501(c)(3) determination letter * No file selected Most recent financial statement * No file selected

I'll email my documents to abby@refusetosink.org instead of attaching them here.

Your request

Number of individuals, families or groups served in Hendry, Glades, Highlands, Okeechobee or western Palm Beach County (South Bay, Belle Glade, Pahokee) * State the purpose of your organization's request * What is the total amount requested for this purpose? * List the specifics of the project or need for which you are requesting funding * Describe how the funds will be used for the specific project * Funding of budgets is not allowed. Only specific needs or projects in line with Refuse to Sink's mission are eligible. List other sources of funding for the project you have described * How does your organization measure the effectiveness of its projects? * Please provide the name, address and phone number for three business or financial references

Certification & signature

By typing your name below, you certify that you are authorized to sign for your organization and that the information provided in this application is true and complete. Refuse to Sink, Inc. may consider this statement true and correct until a written notice of change is provided, and is authorized to make all inquiries deemed necessary to verify the accuracy of the statements made herein.

Name of organization * Date * Authorized signature (type full name) * Title *

Step 1 of 4

Before you apply

· We fund specific needs and projects — not general budgets

· Your work should serve Hendry, Glades, Highlands, Okeechobee, or western Palm Beach County

· Have your 501(c)(3) letter and latest financial statement ready to attach

Questions?

We're happy to talk through your idea before you apply.

abby@refusetosink.org

In crisis? Call or text 988