Please refer to our Grant Application page for application guidelines and background.

  • Who are you:

  • This address will receive a confirmation email once the form is submitted and we may use this address for any follow-up communications.
  • 501(c)3 or other non-profit or public tax identification number. ex. 12-3456780
  • What are you trying to accomplish:

  • What aspect of quality of life in the Adirondack Park is your organization concerned with?
  • What do you propose to do:

  • Please enter a number greater than or equal to 0.
  • Please enter a number greater than or equal to 0.
  • Please explain in one sentence how you are going to use any funds granted. (this brief summary helps us clearly understand the specific items / project / program for which you are requesting funds).
  • How will you measure your progress:

  • Please list the stated goals (bullet points are acceptable)
  • What objective, measurable criteria will you use to determine the success or failure of this effort? (bullet points are acceptable)
  • Financial Snapshot - Overview

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Financial Snapshot - Revenue

  • In USD, with decimal (ie. 1000.00)
  • For the following % fields, provide an approximate breakdown, where the total of all fields should equal 100%.
  • Financial Snapshot - Assets

  • In USD. Bank accounts, endowments, etc. (ie 100,000.00)
  • In USD. Including real property. (ie 100,000.00)
  • Financial Snapshot - Expenses

  • In USD. (ie 10,000.00)
  • For the following % fields, provide an approximate breakdown, where the total of all fields should equal 100%.
  • This field is for validation purposes and should be left unchanged.