Deadline: September 20, 2021

Late submissions will not be accepted
For assistance, call Mariam Mamah at 918-295-6635

Required field(s) are indicated by an *.
* Check box if true	Applicant is a 501(c)3 nonprofit located within the six county service area of TAUW (Tulsa, Creek, Okmulgee, Osage, Rogers or Wagoner counties)
* Agency Name
* Mailing Address
Website
Executive Director
* First Name
* Last Name
* Email
*  Agency Mission
Dollar Amount Requested
* $
Project Description
* Provide a brief overview of project and the specific problem or gap your project is addressing	350 character limit
* Timeline of projected milestones	350 character limit
* Upload budget	Please upload a file.
* Measures of success	350 character limit
* Describe how this project is innovative for our community	350 character limit
* Describe primary economic or social impact of the project	350 character limit
* CC Email 2