Proposal Fact Sheet

Please submit this fact sheet with your complete proposal and required attachments

Name of Organization: 

(Please use full legal name as shown on your 501©(3) or other qualified tax-exempt status designation)

Street Address: 

City: 

State: 

Zip Code: 

Phone: 

Fax:   

Email: 

Chief Executive Officer/Executive Director: 

Phone: 

Email: 

Signature: 

Date:  

(Please note: original signature required)

Board or Department Chair: 

Phone: 

Email: 

Signature: 

Date:  

(Please note: original signature required)

Primary Contact Person: 

Title: 

(if different from above)

Address: 

 

Phone: 

Email: 

Please indicate which RFP is most applicable to your project: 

Program Title: 

Purpose of Program (One sentence): 

Total Program Cost: $ 

Dates of Project: 

Amount Requested: $ 

Number of Years: 

Amount Per Year:      $ 

Amount Contributed by other sources $

Contributions: (Include In-Kind)            $

Geographic area served (Check all that apply): 

Wayne

Oakland

Macomb

Washtenaw

Statewide

Target Population (Check all that apply): 

Children
(0 – 11 yrs)

Adolescents
(12 – 20 yrs)

Adults
(21 + yrs)

Seniors
(55 + yrs)

Attach this grant fact sheet to your complete proposal and required attachments and send to:
The Ethel and James Flinn Foundation
333 West Fort Street, Suite 1950
Detroit, Michigan 48226