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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