Catholic Diocese of Dallas

Date*

(Format: mm/dd/yyyy)

Name*

Title

Email address

Your Organization*

Grant Need*

Reasons for Grant

Estimated Cost of Grant*

Do You have any of the money you need on hand?*

Yes
No

Do you have any of the money you need pledged but not collected?*

Yes
No

Do you need 100% funding to fulfill your need?*

Yes
No

If you answered no how much do you need?

By when do you need this money?*

Do you have administrative diocesan approval for this application?

Yes
No

Do you have any ideas for funding sources?

Yes
No

If you answered yes, please list here:*

Do you have the documents on the grant checklist assembled?*

Yes
No

Other information that you can provide: