Grant Application for an Individual or Family

Harmony Community Foundation

Full Name of Requestor

Phone Number

Who is the individual and group that this grant being requested for?

Please describe the need/situation and how long it has existed.

How will the requested funds be used?

What other resources or steps have been tried to address this need?

Have any options been tried to reduce the amount being requested?

Yes No

Total amount requested:

Who will distribute or manage the funds if this request is approved?

If approved, would the recipient be willing to provide a written statement or participate in an interview to help share their story with potential donors?

Yes No Maybe / Please contact me to discuss

Additional Notes:

For information or assistance, please call us at 520.248.9334 or visit our office at 310 S. Williams Dr. Suite 210, Tucson, Arizona 85711.