Grant request

* Please note: Currently we are not accepting requests for individuals, schools or school activities, religious based or political gatherings.

* Please include as much information as possible

Today's Date:

Organization Name (no abbreviations):

Organization Full Address:

Organization Mission:

Name of person submitting request:

Contact Email:

501 C3#: Your organization must have a valid 501c3 in order to be considered.

Amount requested $:

Request Type:

Request Summary:

  • Program/Initiative Grant – enter Use of Funds and Outcomes Information
  • Other – enter Use of Funds and Outcomes Information

Add summary information here:

Due Date (Funds):

Due Date (Ad Information):

Size and demographic information about your target audience:

Other Corporate Partners:

This Donation Supports (check all that apply):
QVC’s Community Involvement Focus: Promote entrepreneurship and/or professional skill building among womenHelps provide a caring community during illness by promoting the social and emotional support needed in the healing processOther

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