Grant Application

Instigate Change

Grant Application

Your Name Organization or Group Email Telephone Website

Street Address City State Zipcode

We highly recommend writing your text elsewhere and then pasting it into this form so that you don't accidentally lose anything.

What services are you applying for?

Strategic and Creative Planning
Print Design
Identity Design
Web Design

What is the mission of your organization? Proposed Project Title Proposed ProjectBriefly describe your proposed project, answering the following questions: What is the goal of the project? What issues does your project address? Who is (are) your target audience(s)? What key messages are you striving to communicate to your audience(s)? StatusHave you begun any work on this project? If so… What have you accomplished so far? What hurdles have you encountered? Our ImpactHow do you think theCoup can support your campaign and extend its impact? AssetsWhat are your assets? Do you have any design, web, or communications support for this project? Staff, volunteers, or consultants? How did you hear about this grant?