Letter of Request

  1. Organization Information


    Name of Organization Making the Request(*)
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  2. Legal Name of Organization (if different from above)(*)
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  3. Postal mailing address of organization making request
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  4. Postal mailing address line 2 (if applicable)
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  5. City
    Invalid Input    		 State/Province
    		 Postal/Zip Code
  6. Country
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  7. Phone Number (including Area/Country Code)
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  8. Brief history of the organization
    Please let us know your message.

  9. Project


    Short project title
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  10. Brief description of the project(*)
    Please let us know your message.
  11. Diocese where the project will take place(*)
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  12. Religious institute involved in the project (if applicable)
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  13. Start Date(*)

    please enter in form mm/dd/yyyy - or click button to view a selection calendar
    No earlier than 01 July 2012
  14. End Date(*)

    please enter in form mm/dd/yyyy - or click button to view a selection calendar
    No earlier than 01 April 2013
  15. Total estimated cost of the project (USD):(*)
    Invalid Input     		Amount requested (USD) from Koch Foundation:(*)
    Invalid Input
    Amount requested from other funders (USD):(*)
    Invalid Input    		 Amount already committed to project (USD):(*)
    Invalid Input

  16. Administration


    Prefix
    		 First/Given Name
    		 Surname/Family Name
  17. Position (e.g., Project Coordinator, Development Director)
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  18. Phone Number (Include Area/Country Code)
    Invalid Input
  19. E-mail Address(*)
    Invalid Input

  20. Contact Information


    Prefix
    		 First/Given Name
    		 Surname/Family Name
  21. Position (e.g., Project Coordinator, Development Director)
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  22. Postal mailing address Line 1
    Invalid Input
  23. Postal mailing address Line 2 (if applicable)
    Invalid Input
  24. City
    Invalid Input    		 State/Providence
    		 Postal/Zip Code
    25. Country
    Invalid Input
  25. Phone Number (Include Area/Country Code)
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  26. Contact E-mail (*)
    Please let us know your email address.

  27. E-mail address where you want the application sent:(*)
    Please let us know your email address.
  28. N.B. * This is a request. By submitting this form, you are requesting an application form. *
    * This is NOT your application. You should receive your application form within 2 – 3 weeks from the date you submit this form. *
    * If you have not heard from us after that time, please send an email to staff@thekochfoundation.org letting us know, or call our office at 352.373.7491. *
  29. Do you prefer a paper or online application
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  30. Please enter the numbers shown into to field below to verify your status
    Please enter the numbers shown into to field below to verify your status
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