Introduction Form — The Tilles Foundation

Introduction Form

The following Introduction Form should take no more than 15 minutes to complete. It’s our way of getting to know a little more about your organization. We will get back in touch with you within a few months to let you know next steps. Learn more about our Giving Strategy.

Introduction Form - Tilles Foundation

Organization Name

EIN#

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of Person Filling Out Form

First Name

Last Name

Title

Phone

(###)

###

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Executive Director Name

First Name

Last Name

Title

Phone

(###)

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Applicant's Tax Exempt Status / IRS Designation

Program / Project / Campaign Name

Estimated Grant Request: $

Organization Mission Statement

Annual Budget

Year Founded

Number of people on your board

How did you hear about us?:

In 3 sentences, what is the purpose of this request?

In 3 sentences, why is this issue important to the Greater St. Louis region?

In 3 sentences, what makes your idea innovative and game-changing?

In 1 sentence, who will be served by this grant?

Approximately how many people will be served by this grant?