2025 Make a Difference Day Grant Proposal Form Organization/School's Name Please Provide Company/School Address Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Contact Person Information Name Email Phone Will you be the designated Volunteer Leader for this project? Yes No Enter other… If no, please provide name and email for Project Leader. Tell Us About The Community Service Need You Have Identified. Have you applied for any other grants or volunteer requests for this project? Yes No Other… Enter other… Short Description of Volunteer Activity: Total Amount Requested: Please provide a budget for your total project designating the funding you are requesting, a description of the supplies, and the vendor. Total Number of Volunteers Needed: A brief list of project tasks that volunteers need to complete on Make a Difference Day. Do you need a skilled or expertise volunteer to assist with any preparation of the project? This could be through knowledge or labor. If so, please describe in detail your needs. Yes If yes, please describe. No Please Describe. Enter other… Do you need any special equipment to complete the project? Please describe. Yes If yes, please describe. No Please Describe. Enter other… What is the expected long-term impact of this project on the community? Date(s) for Project (please select all available dates): Monday, October 20, 2025 Tuesday, October 21, 2025 Wednesday, October 22, 2025 Thursday, October 23, 2025 Friday, October 24, 2025 Saturday, October 25, 2025 Other (please specify) Enter other… Approximate Time (hours) Needed for Project Completion. For Multi-day Projects, Please Specify: Location of Project. Location of the project with physical address. Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code
