Organization:
Name*: Federal ID# (e.g. 93-1234567)*: Founding Year*:
Brief Description of Your Organization (max 255 characters)*:
Select an Organization Type*: Select a Type Arts Arts Children At Risk Youth Child Advocacy Children & Families People with Disabilities Education Environmental Food/Health-Care Health & Human Svcs Historical Preservation Literacy Mental Health Other Senior Services Timber Industry Interests If Type is 'Other' explain:

Business Information:
Address*:
       City*: St*: Zip*: County*:
Phone (e.g. 5035551234)*: Fax (e.g. 5035551235):
Website (e.g. www.mycompany.org):

Mailing Address (if different from business address):
Address:
       City: St: Zip:

Executive Director/CEO:
Mr/Ms: Select Mr. Ms. First Name*: Last Name*: Title*:
Phone (e.g. 5035551234)*: Ext: Email:*

Project Contact Person:
Mr/Ms*: Select Mr. Ms. First Name*: Last Name*: Title*:
Phone (e.g. 5035551234)*: Ext: Email:*

Project Information:
Please do not copy and paste information from Microsoft Word to fields in this section as formatting and characters are not compatible with this form.
Total Project Cost (e.g. 50000)*: Amount Requested From Foundation*:
Purpose of funds requested (max 255 characters)*:
County where the money will be spent*:
Who will benefit from the grant and how will they benefit? (max 255 characters)*:
     
Other Sources of Project Funding (max 255 characters):
Please provide your organization's overall operating budget for the year (e.g. 3500000)*:
Please provide the Admin %. This number should include all overhead costs related to operating your organization, including fundraising costs. (e.g. 6.5 - do not include the % sign)*:
If your organization has a connection to Stimson Lumber or Stimson-Miller Foundation Board of Directors, please provide a brief description of that connection (max 255 characters):
     

Please review this information carefully before clicking the submit button.
When you click the button, your application will be saved and sent to the foundation, and a confirmation will display. Print the confirmation, use it as a checklist to gather the documentation, and include it with your submission.