Everus Foundation

Grant Application

Nonprofit Corporation grant application form

Organization Name(Required)

Organization Tax ID/EIN:(Required)

Organization Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Website(Required)

Do you know any Everus Construction Group, Inc. employees involved with your organization?

Yes

List any Everus Construction Group, Inc employees involved with your organization

Primary Contact(Required)

First Name Last Name

Title(Required)

Phone(Required)

Email(Required)

Amount Requested(Required)

Project/Program Title(Required)

Purpose of Grant (check one)(Required)

Program Support

General Operating

Capital

Other

Statement of Need(Required)

Describe the problem or need the grant will address.

Total Project Budget(Required)

Grant Funds Will Be Used For (summary):(Required)

Other Funding Sources (confirmed or pending):(Required)

A description of your organization/project, including its mission, goals and objectives

Max. file size: 16 MB.

A list of officers and board of directors

Max. file size: 16 MB.

Current operating budget and latest financial statements

Max. file size: 16 MB.

A list of corporations providing funding to the project/organization

Max. file size: 16 MB.

Completed W9 or a copy of the tax-exempt status letter under Section 501 (c)(3) or evidence of government agency status under Section 170(c).

Max. file size: 16 MB.

I certify that the information provided in this application is true and accurate to the best of my knowledge.(Required)

Title(Required)

Date(Required)

MM slash DD slash YYYY

Signature(Required)