Organizational DetailsOrganization must have nonprofit status Name of Organization * Nonprofit Employer Identification Number (EIN) * Organization's website * Mission * Street Address * City * State * Zip Code * Neighborhood(s) served * Beaver Hill Brookside Dixwell Downtown Dwight East Rock East Shore/Morris Cove Edgewood Fair Haven Fair Haven Heights Hill Newhallville Westville West River Wooster Square Organizational contact for request First Name * Last Name * Title * Cell Phone * E-mail * Grant Proposal Details What areas of pandemic-related assistance does your proposal address? * To select multiple areas, hold down the Control (PC) or Command (Mac) key. Child care Clothing Educational assistance and remote learning Health Housing/shelter Meals Personal hygiene and space cleaning Personal protective equipment (masks and sanitizer) Other Purpose/Use of Funds--must be immediately implementable and related to the COVID-19 pandemic * Will this project have support from any community partners other than the applicant? * Total New Haven Residents Served * Total Unique New Haven Residents Served * Total Project Cost * $ Amount Requested * $ Budget Upload Instructions * Please upload the budget for the project described in your request.Files must be less than 10 MB.Allowed file types: txt rtf pdf doc docx xls xlsx. W9 Upload Instructions * Please upload a copy of your W9 form. A fillable copy can be found on the IRS website.Files must be less than 10 MB.Allowed file types: rtf pdf doc xls. Additional Information Upload Instructions Please upload any additional information that may be helpful in determining eligibility.Files must be less than 10 MB.Allowed file types: rtf pdf doc docx xls xlsx. Photo Release Request * I authorize Yale University to take photos of my organization and how the grant funds are being used. NOTE: Yale will contact your organization in advance of a visit, to arrange the taking of photos which will be used on the University’s Yale Community For New Haven Fund website which is aimed at promoting a stronger Yale and New Haven relationship. Yes No CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.