Grant Request

Pennrose Foundation proudly supports non-profit organizations that share a similar mission and are focused in the communities we serve.

Please complete all information in the below form to submit a request for financial support from the Pennrose Foundation. Thank you.

Organization Name *

Organization Street Address *

Organization, City, State, Zip *

Contact Name *

Contact Email *

Contact Phone *

Brief description of organization *

Description of clientele served *

Geographic area(s) served *

Do you have proof that your organization has non-profit legal status? *

Yes
No

Grant amount being requested *

Is this a one-time or reoccurring request? *

One-time
Reoccurring

Number of participants to be served by grant? *

Which of the following does your request support? *

Children & youth
Building community
Community arts & culture
Other

Organization website (if available)

Attach any additional organizational or program related information that you believe would be helpful in supporting your request

Thank you

Your request will be reviewed and responded to as quickly as possible. If you have any questions, please email PennroseFoundation@pennrose.com. Please click "Submit" below to submit your form.