Please answer the following questions to begin the application process.

Question 1

Is your organization a non-profit corporation recognized by the Internal Revenue Service as tax exempt under Section 501(c)(3) of the Internal Revenue Code?


Question 2

Is the primary objective of your organization and this project to assist individuals find recovery from or avoid chemical dependency?


Question 3

Do you have electronic versions of the following documents available? (Word, other text file, PDF, Excel)

  • Budget for the project
  • List of Board of Directors with professional affiliations and individual contributions for the current and prior year
  • Most recent audit or year-end financial statement
  • Indication of organization's tax exempt status and copy of current IRS determination letter
  • List other organizations in your region carrying out similar projects.