Application Form

Application deadline: December 14, 2007

Please contact Lumity at 312.372.4872 if you have questions or difficulties with this form.

* = required field

Name of Organization*
Address*
City*
State*
ZIP*
EIN*
Contact Person Name*
Contact Person Title*
Contact Person Email*
Contact Person Phone*
Website URL
Summary of organizational mission and programs (one page maximum)*
Budget size* $
Project budget (if applicable) $
Narrative*
File Attachments: Note: Your 501(c)(3) letter and Current Fiscal Year Budget must be submitted electronically. Please use the Browse button to select and attach the appropriate files. We recommend scanning the documents if electronic versions do not exist. Additional information may also be attached as Appendices.
501(c)(3) letter*
Current Fiscal Year Budget*
Appendices

We may list applicant nonprofits in publicity materials. May we list your organization in web and print publicity items?

Yes, Lumity may use my organization's name in Award publicity materials.