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ELIGIBILITY

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HOME

ABOUT

ELIGIBILITY

CONTACT

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The Darryl & Julie Christner Family Foundation is currently available to take requests from registered 501(c)(3) organizations.

Please fill out the form below so DJCFF can best assess organizational alignment. As a multi-step and comprehensive form, we recommend filling it out in desktop mode for optimal performance.

All other inquiries are welcome to fill out our Contact Form. Thank you!

Our
Eligibility Form

Eligibility Form

The following form contains two parts.

Part 1 is About Your Organization, where we will collect details about the following:

Organization name, address, EIN, and website URL;
Executive Director name and contact information;
Year established, organization budget, number of staff and volunteers;
Mission statement, description of organization, and population served; and
Copy of IRS 501(c)(3) determination letter, 990 IRS filing, and/or most recent financial statements.

Part 2 is the Grant Request, where we will collect details about the following:

Name of program/project the grant will help fund;
Requested grant amount;
Pillar of support (mental health, substance abuse, education, etc.);
Total amount budgeted for the program/project;
Description of why the grant is being requested;
How DJCFF's donation will be recognized.

Ensuring the above information is available to you before beginning this Eligibility Form will streamline the process.

Part 1 of 2:
About Your Organization

The following questions will help DJCFF learn about your organization and its mission. Information needed includes:

Organization name, address, EIN, and website URL;
Executive Director name and contact information;
Year established, organization budget, number of staff and volunteers;
Mission statement, description of organization, and population served; and
Copy of IRS 501(c)(3) determination letter, 990 IRS filing, and/or most recent financial statements.

Ensuring the above information is available to you before beginning this Eligibility Form will streamline the process.

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1 / 8

Tell us about your organization.

Please fill in the details below.

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2 / 8

The organization's mailing address.

Please fill in the details below.

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3 / 8

Executive Director details.

Please fill in the details below.

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4 / 8

The key numbers.

Please fill in the details below.

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5 / 8

The organization's purpose.

Please fill in the organization's Mission and/or Vision statement.

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6 / 8

The organization's purpose.

Please fill in a brief description of the organization.

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7 / 8

The organization's purpose.

Please fill in a brief description of who the organization is best geared to serve.

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8 / 8

Required attachments.

Please attach a copy of your IRS 501(c)(3) determination letter, as well as 990 IRS filing and/or most recent financial statements.

Max file size 10MB.
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Part 2 of 2:
Grant Request

The following questions will help DJCFF learn about your grant request and assess our organizational alignment. Information needed includes:

Name of program/project the grant will help fund;
Requested grant amount;
Pillar of support (mental health, substance abuse, education, etc.);
Total amount budgeted for the program/project;
Description of why the grant is being requested;
How DJCFF's donation will be recognized.

Ensuring the above information is available to you before beginning part two of the Eligibility Form will streamline the process.

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1 / 6

About the project.

Please fill in the details below.

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2 / 6

Pillar of support.

Please select the pillar of support with which your request most closely aligns.

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3 / 6

Description of request.

Please answer in brief descriptions of 1-2 sentences.

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4 / 6

Description of request.

Please answer in brief descriptions of 1-2 sentences.

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5 / 6

Donation recognition.

If funded, how would your organization recognize the donation from The Darryl & Julie Christner Family Foundation?

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6 / 6

Confirm submission.

Thank you for taking the time to complete this form. Please leave your contact information below and we will reach out soon with further information regarding your request.

Please ensure all relevant fields are complete. We cannot guarantee a successful submission or return contact if fields are left empty.

By submitting, you are agreeing to the use of your information for our confidential and internal review.

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