Online Grant Application – Thoroughbred Education and Research Foundation

To apply for a Grant please submit this online form.

If you prefer you may fill out the printable pdf form, scan it and email it to us at office@terfusa.org.

- Step 1 of 4

Name of 501(c)(3) Organization

Today's Date

Year Established

Amount Requested

Name of Executive Director

Mailing Address

Address Line 1

City

State

Zip Code

Contact Information - Name and Title

Work Phone

Fax

Website / URL

Farm/Facility Name

Farm/Facility Physical Location (City, State)

Farm/Facility Mailing Address

Address Line 1

City

State

Zip Code

Please provide a response to each question below:

Brief Mission Statement

In brief, what is your proposed use of the grant you are applying for? Please include 3 to 5 goals you expect to achieve with the funding.

If you received a grant from TERF (Thoroughbred Education and Research Foundation) previously, please describe how those funds were used.

Please list the other organizations or major contributors that have provided funding to your organization within the last calendar year.

Please describe your charity’s public education/research efforts.

Please describe any publicity your charity has earned within the last calendar year. Copies of news articles or a brief summary of news coverage are acceptable.

List 2-3 things that distinguishes your organization and why TERF should fund this proposal.

Space for Additional Information and Notes

Please list your Officers with their Titles

How many Directors/Trustees does your organization have?

Please list the organization’s board of directors or trustees including names, addresses, work and home telephone numbers.

You have indicated that your orgnaizaion has no directors or trustees. If this is incorrect, please return to the previous page and correct the last answer. If this is correct, please continue to the next page.

Director Name (1)

Director Address (1)

Address Line 1

City

State

Zip Code

Director Work Phone (1)

Director Home Phone (1)

Director Name (2)

Director Address (2)

Address Line 1

City

State

Zip Code

Director Work Phone (2)

Director Home Phone (2)

Director Name (3)

Director Address (3)

Address Line 1

City

State

Zip Code

Director Work Phone (3)

Director Home Phone (3)

Director Name (4)

Director Address (4)

Address Line 1

City

State

Zip Code

Director Work Phone (4)

Director Home Phone (4)

Director Name (5)

Director Address (5)

Address Line 1

City

State

Zip Code

Director Work Phone (5)

Director Home Phone (5)

Director Name (6)

Director Address (6)

Address Line 1

City

State

Zip Code

Director Work Phone (6)

Director Home Phone (6)

Director Name (7)

Director Address (7)

Address Line 1

City

State

Zip Code

Director Work Phone (7)

Director Home Phone (7)

Director Name (8)

Director Address (8)

Address Line 1

City

State

Zip Code

Director Work Phone (8)

Director Home Phone (8)

Director Name (9)

Director Address (9)

Address Line 1

City

State

Zip Code

Director Work Phone (9)

Director Home Phone (9)

Director Name (10)

Director Address (10)

Address Line 1

City

State

Zip Code

Director Work Phone (10)

Director Home Phone (10)

Director Name (11)

Director Address (11)

Address Line 1

City

State

Zip Code

Director Work Phone (11)

Director Home Phone (11)

Director Name (12)

Director Address (12)

Address Line 1

City

State

Zip Code

Director Work Phone (12)

Director Home Phone (12)

Please list names and, briefly, the duties of volunteers and paid employees in your organization. Also, provide salaries paid to directors and employees if applicable. Please use additional space if needed.

1. Name - Job Title

1. Salary

1. Duties

2. Name - Job Title

2. Salary

2. Duties

3. Name - Job Title

3. Salary

3. Duties

4. Name - Job Title

4. Salary

4. Duties

5. Name - Job Title

5. Salary

5. Duties

Name