Application – HarrisCharities.org

Have you read our ELIGIBILITY requirements and does your organization meet the criteria? *

Yes
No

NONPROFIT STATUS / Is your organization a public charity that is non-profit and tax-exempt? *

Yes
No

Please check the category that best DESCRIBES your organization: *

Our organization holds a current tax-exempt status under Section 501(c)(3) or Section 501(c)(19) of the Internal Revenue Code, listed on the IRS Master File and conducting activities within the United States.
We are a recognized government entity: state, county or city agency, including law enforcement or fire departments, that are requesting funds exclusively for public purposes.
A K-12 public or nonprofit private school, charter school, community/junior college, state/private college or university.
We are a tax-exempt church or other faith-based organization, and we are proposing a project to benefit all of the citizens who live in Manteca, Lathrop, French Camp, and/or Ripon.
We are private individuals who have not received tax-exempt status from the IRS.

Enter the 501(c)(3) taxpayer identification number (if available) — if not, enter the word "NONE." *

Enter name of nonprofit organization, school, government agency, or church: *

LOCATION / Will the funding you seek be primarily used to serve citizens who reside in the communities of Manteca, Lathrop, French Camp, and/or Ripon, California? *

Yes
No

ANTI-DISCRIMINATION POLICIES AND PRACTICES / Does your organization refrain from discrimination in its provision of service, employment, and hiring along the lines of race, color, religion, sex, gender expression, physical appearance, language, education background, national origin, age, disability, veteran status, or any other categories protected by applicable United States law? *

Yes
No

Amount of Funding Requested: *

PLEASE NOTE: Funding is limited, so we must often choose between giving smaller amounts to applicants or giving them nothing at all. Therefore, our committee members reserve the right to adjust the amount awarded to each organization without prior notice. If your request exceeds $500, you may be asked to submit additional information in a more detailed application process.

IDENTIFY GOALS OR MISSION / What kind of services do you intend to provide with this funding? Check all that apply: *

Briefly explain your mission or goals. What do you hope to accomplish if you receive funding? *

Your name or name of another contact person: *

First

Last

Email *

Email

Confirm Email

Mailing address (including city and zip) *

Website (or informational webpage) for your organization:

Website address for social media page (FaceBook, Twitter, etc.)

Each year, online applications must be submitted before March 15th, June 15th, September 15th, or December 15th to qualify for end-of-quarter distributions.

If a confirmation message does not appear, please scroll back to check that all required fields have been filled in. Thank you!