KAT Kares Dakota Development Award Application

Dakota Development Award Application

To apply for the award, please fill out and submit the form below. All fields are required for successful application. Incomplete applications and appeals will not be considered.

Name:
Address:
City:
State:
Zip Code:
E-mail:
Phone:

Contact Person

Name:
Address:
City:
State:
Zip Code:
Position within company:

Documentation and Other Information

Please attach documentation of the organizations non-profit and/or tax exempt status including the latest IRS ruling showing the tax exempt status of the organization.
Please attach a listing of principal officers, board of directors, and staff of the organization.
In 100 words or less, please write a statement of the organization's purpose.
In 100 words or less, please indicate the geographical area and population the organization serves.
In 600 words or less, please describe the project or program for which the services would be used, the need, and the time frame for completing the project or program.
In 100 words or less, please list major sources and levels of financial support the organization has received over the past two years.