You must be a nonprofit organization in order to apply for our Programs of Service funds. Applications open October 15 of the current calendar year and close January 31 of the next calendar year.

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Contact Name *

First

Last

Mailing Address

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone

Email *

Date women or

Date of Application

Project Title

Project start and completion date

Dollar amount requested

Does this project have funding from other sources? (Funds requested may not be used for employee wages.)

• Yes
• No

How will this project benefit women and girls?

Project summary (350 words or less….must include a budget)

Visual Code

Selected applicants will be asked to support and participate in any Soroptimist fund raisers designated to benefit their organization. Funds will be disbursed in June.

Signature *

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