Skip to content
Loaves and Fishes
Southwest Detroit
Home
About Us
Who We Serve
Holiday Programs
Pantry Locations
Our Needs
Events
Grants
Contact
Home
About Us
Who We Serve
Holiday Programs
Pantry Locations
Our Needs
Events
Grants
Contact
Grant Request Application
Name of Organization:
Date:
MM slash DD slash YYYY
Name as it appears on IRS 501(c) 3:
Date 501(c) 3 was issued:
MM slash DD slash YYYY
Employer Identification Number:
Name and Title of head of the organization:
Name of person in charge of the feeding program:
Address of feeding program:
Street Address
Address Line 2
City
ZIP / Postal Code
Phone:
Email:
What city and zip code areas do you serve?
Type of Agency:
Church
Community Center
Shelter
Other
Type of Program(s):
Food Pantry
Soup Kitchen
Other
Other:
Age of population served:
0-18
18-64
64+
Gender served:
Male
Female
Both
When did the feeding program begin?
What days/times is your feeding program open?
How many households are you serving per month?
How many individuals?
How many households did you serve last year?
How many individuals?
How much is your monthly budget for food purchases?
How is your feeding program funded?
Who are your sources of food?
Type of Food Storage at facility:
Amount of Grant Requested (Frozen Food):
Amount of Grant Requested (Cash):
Amount of Grant Requested (Freezer):
Amount of Grant Requested (Refrigerator):
Amount of Grant Requested (Shelving):
Amount of Grant Requested (Other):
Please explain Other:
Total:
Applicants Name and Title:
Date:
MM slash DD slash YYYY
Signature
Go to Top
