GRANT REQUEST -GLENEAGLE SERTOMA CLUB

Gleneagle Service to Mankind Club Grant Request Guidelines

This document serves as the formal application for a grant from the Gleneagle Service to Mankind Club. The information furnished herein will be utilized by the Club’s Sponsorship Committee for the evaluation of the Grantee and the intended purpose of the requested funds.

Submission Deadline: The Grant Request Form must be submitted no later than March 31, 2026.
Confirmation: An electronic copy of the submitted form will be emailed to you as confirmation of receipt.
Funding Criteria: Grant proposals must align with the following selection criteria within Northern El Paso County by a registered 501 c 3 non profit organization:
- Youth programs
- Hearing health initiatives for all ages
- Support for families of first responders and military personnel

Applicants are required to clearly articulate how their request specifically addresses these criteria within the defined geographic area.

Grantees receiving funds from Gleneagle SERvice TO MAnkind agree, as part of this application, that their name and likeness may be used on the club’s website and any public media releases.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

GRANTEE INFORMATION

501(c)(3) Grantee Name (and other DBA names)*

501(c)(3) Grantee’s Employee Identification Number (EIN)*

Colorado ID:*

If you don't what it is, you can find it here:Colorado Secretary of State.

This field is hidden when viewing the form

CERTIFICATE OF FACT OF GOOD STANDING

Go to the OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO and print off a copy of the Grantee’s CERTIFICATE OF FACT OF GOOD STANDING, and attach it to this Grant Request.

Accepted file types: pdf, Max. file size: 230 MB.

POINT OF CONTACT INFORMATION

Name*

Billing Address*

Street Address, City, State and Zip appear below the entry field. "Billing Address" is the header.

Street Address City State ZIP

Email*

Phone*

Amount of Grant Requested ($3000-$20000)*

Please enter a number from 3000 to 20000.

Purpose of Grant*

Briefly describe, in less than 500 words, how the funds will be used, including specific programs or services

Has your organization received funding from the Gleneagle Sertoma Club in the past?*

YES

NO

If yes then please specify the year(s) and the amount(s) received, if known:

CERTIFICATION

By typing the name below, I certify that the information provided in this request is accurate and that the funds, if granted, will be used solely for the purpose described above.

This field is hidden when viewing the form

Authorized Signature

Authorized Name*

Type the full name of the Authorizing Officer of your Non Profit in this field.

What is 2x9?*

Please answer the anti-SPAM question.

Gleneagle Sertoma Club

UPCOMING EVENT FUNDRAISER:

GRANT REQUEST -GLENEAGLE SERTOMA CLUB

GRANTEE INFORMATION

POINT OF CONTACT INFORMATION

CERTIFICATION

Contact Us

Socialize