Please complete the application form below Applications can only be submitted through this website. Contact Information 1. Application Review Meeting Date* "September Review" - Applications must be received between May 1 at 5:01pm and August 1 at 5pm"November/December Review" - Applications must be received between August 1 at 5:01pm and October 1 at 5pm"March Review" - Applications must be received between October 1 at 5:01pm and February 1 at 5pm"June Review" - Applications must be received between February 1 at 5:01pm and May 1 at 5pm 2. Organization Name* 3. EIN (or Group EIN)* 4. Mailing Address* 5. Contact Person Name* 6. Email Address* 7. Phone* 8. Year organization founded* 9. If under group ruling, name of Group holder 10. Organization Category* -- Please Select --Animal Welfare/EnvironmentalArts/Culture/HumanitiesHealth/Medical/Scientific ResearchHuman ServicesReligious Causes - CatholicReligious Causes - Non-CatholicWomens InitiativesYouth DevelopmentOther 11. Grant Purpose* -- Please Select --General SupportSpecific ProjectCapital Campaign 12. Amount Requested* Specific Project Information If for General Support, please skip to Prior Year Receipts 13. Specific Project Name 14. Total Project Budget 15. Total Project-related Payroll Expenses 16. Pending Projects Funds Please include funds committed from other sources but not yet received. 17. Total Project Funds received to-date. 18. Project Start Date 19. Project End Date Prior Fiscal Year's Receipts * indicates required field, please note "N/A" if not applicable. 20. Last Fiscal Year End: MM/DD/YYYY* 21. Total Operating Revenue* 22. Total Contributions and Grants from Outside Sources* 23. Total Contributions from United Way* 24. Total Grants received from Foundations & Corporations* 25. Total Government Grants or Contracts* 26. Total Fees, Tuitions, Dues, & Retails Sales* 27. Total Funds Received through Fundraising Events* 28. What percentage of your Board of Directors made a financial contribution to your organization during the last year?* 29. What percentage of your Board of Directors volunteered time and/or services to the organization beyond attending Board meetings last year?* 30. Approximately how many volunteers work with your organization each year?* 31. What percentage of your full-time staff are volunteers?* 32. Total salary expenses (Please include payroll as well as payroll-related taxes and benefits costs)* 33. How many full-time staff do you employ?* 34. How many part-time staff do you employ?* 35. What are the total estimated volunteer hours given to your organization?* Additional Information 36. What is your Mission Statement?* 500 37. How is your organization governed? (Board of Directors, Advisory Committee, etc.)* 500 38. Briefly Summarize Your Target Population* 500 39. Briefly describe the project and how it will address a need in the community* 500 40a. Have you received funding from the Cameron Foundation in the last 5 years?* -- Please Select --YesNo 40b. In what month and year did you receive a grant and for how much?*{{rep-1_index}} -- Please Select Month --JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember -- Please Select Year --202220212020201920182017 add additional yearremove additional year All of the following documents are required: Cover Letter (max file size 35MB)* Proof of Tax-Exempt Status (max file size 35MB)* Board of Directors (max file size 35MB)* Specific Project Budget (if requesting funding for Specific Project) (max file size 35MB)* Organizational Budget (max file size 35MB)* Other Funding Sources (max file size 35MB)* Most Recent Audited Financial Statements or Form 990 (max file size 35MB)* List of Debts and Assets (max file size 35MB)* Δ