Apply – Quantrell Cares

Thank you for your interest in the Quantrell Cares Award!

Please complete the application form below to be considered. Applicants must hold a valid and active 501(c)(3) certification and are eligible to apply only once every six months.

Organization Name*

Website URL*

Contact Name (First and Last)*

Email*

Phone Number*

Which County Does Your Organization Serve?*

Office Address (Full address including zip code)*

Please tell us about your organization*

How many people does your organization serve locally?*

Do you have an event you would like us to support?*

What is the date and time of this event?*

Where is the event being held?*

EIN Number*

Please upload your valid and active 501(c)(3) certificate Upload a file or drag and drop. up to 10MB

Additional Information*

Apply for Funding

Thank you for your interest in the Quantrell Cares Award!