About ADC - ADC Foundation - Letter of Inquiry

Does your proposal fit? If so, please complete the Letter of Inquiry form below.

Items marked with an * are required.

*Full legal name
of your organization:

*Address:

*City:

*State:

*Country:

ADC funds only in the US, Australia, Germany, India, Mexico and the United Kingdom.

*ZIP/Postal Code:

*Phone Number:

*Email:

Web Site Address:

*Name of highest level
paid staff person:

Name of contact if
different from above:

*Service Area:

Comments on Service Area:

*Our organization is:

If charitable not-for-profit organization, are you certified by your government?

Yes No

If a governmental unit, can you provide documentation of your status?

Yes No

*Approximate size of organization budget:

Amount:
Currency:

*Our largest source of revenue:

*Our fiscal year (if not calendar, choose beginning month):

We will be able to supply you with official financial statements in the form of:

(select all that apply)
US tax form 990
Audited Financial Statements

Other (please describe below)

*Our grant falls into the following ADC Focus Area:

*Amount we are applying for:

Amount:
Currency:

*Please describe the overall mission of your organization:

Please describe the program or project for which you seek support:

*This grant will largely benefit (select all that apply):

Press and hold ctrl key to make multiple selections.

*Do you have any ADC employees as volunteers within your organization?

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