Let’s work together.

Welcome to The Wheeler Family Charitable Foundation grant application portal. Please complete the application form below completely with detailed and accurate information. Each submission will be thoroughly reviewed for alignment with our mission and values. Thank you for your commitment to making a positive impact in our community.

Organization Information

Organization Name

EIN

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Website

http://

Primary Contact Person

First Name

Last Name

Phone

(###)

###

####

Mission & Background

Mission Statement

Brief History of Your Organization

Key Programs and Services Provided

Grant Request Details

Project/Program Title

Category of Funding

Requests outside of these categories will not be considered.

Arts & Culture

Healthcare & Medical Research

Youth Development & Education

Faith & Spiritual Growth

Community Services & Support

Amount Requested

Total Project/Program Budget

Goals and Objectives

Expected Outcomes and Impact

Geographic Area Served

Project/Program Details

Start & End Dates

Target Population

Key Activities & Timeline

Evaluation & Measurement Plan

Current Fiscal Year Budget

Other Funding Sources for This Project/Program

List of Major Donors (if applicable)

Previous Grants Received from The Wheeler Family Charitable Foundation (if applicable)

Signature

By typing your name below, you attest that the information provided in this application is accurate and complete to the best of your knowledge.

Today's Date

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