DIGITAL/ONLINE APPLICATION INSTRUCTIONS:

  1. Include as follows:
    a. Cover letter,  submitted in PDF format (signed by authorized officer of organization)
    b. Completed Online Grant Application Form, click below (signed by authorized officer of organization)
    c. A list of officers and board of directors or trustees, submitted in PDF format (include occupations)
    d. A one-page budget for the amount requested, submitted in PDF format
    e. Current organization budget, submitted in PDF format
    f. Letters of support, if any, submitted in PDF format
    g. IRS letter confirming 501(c)(3) tax status, submitted in PDF format
    h. Most recent audited financial statement, submitted in PDF format
    i.  Organization’s nondiscrimination policy statement, submitted in PDF format (required)
  2. Please limit each upload to no more than 1mb, with no more than 12 scans total for A through F.

If you wish to save your work and continue later, click on the "Save and Continue" button located at the bottom of this form. This feature will show a link in a blue box that will re-populate the fields of the form with your data. It is suggested that you copy/paste the provided link to a separate digital note or file, as the link cannot be re-sent for privacy and security reasons. Alternately, you will be prompted to enter an email address at which you will receive this link when submitted - however, again, we suggest that the best route to retain the link is to copy/paste it, as automated emails are often flagged as spam and may not make it to you. This link will be good for 30 days. Attachments will not maintain attachment to the form and must be re-attached after using the save and continue feature.

Please avoid the following specific combination of characters within the text of your application entry, as it has caused issues in previous application seasons with our form software: ") (" A closing parenthesis followed by a space, followed by an opening parenthesis. Using any of these characters in any other configuration is acceptable.

It is recommended that you frequently save an in-process application periodically by clicking on the Save and Continue button at the bottom of the form. Any work not saved will be lost if the application window closes and/or if there is an interruption in the sending process. If you experience issues with the form, and are copy/pasting from a word processing app such as Microsoft Word, it may help to strip the text of its rich formatting prior to adding it to the form - try pasting that text into a simpler app such as Notepad (Windows PC) or TextEdit (Mac) and then re-selecting that text in the simpler app and copy/pasting that text into the form fields instead.

If you wish to receive an email confirmation that your application has been received, it may aid in the receiving of such an email to have haroldandgraceupjohnfoundation.org whitelisted on the associated email server.

*All items marked with an asterisk are required to submit the form.

"*" indicates required fields

Spring 2024 HGUF Application (Version 030124-A)

SECTION A: ORGANIZATION INFORMATION

*All items marked with an asterisk are required to submit the form.
MM slash DD slash YYYY
Address*
Contact Person*
Email Associated with Application*
Authorized Officer's Name*
Is organization determined by IRS to be a section 501(c)(3) organization?*
Is applicant a unit of government?*
Is organization affiliated with any religious organization?*
Does organization engage in any form of proselytizing (religious conversion)?*
Does organization affirm that it does not discriminate on the basis of race, color, religion, creed, national origin, ancestry, disability, gender, sexual orientation or age with regard to employees, volunteers, members, clients, and contractors?*
Does organization collaborate with other organizations in the same field of interest?*
(buildings, land, equipment, etc.)

SECTION B: FUND REQUEST INFORMATION

PLEASE BE ADVISED - When using our save progress feature, attachments will need to be re-attached prior to sending.

PLEASE NOTE - We accept PDF files only at this time. Before attaching documents, please ensure that the filename of each document contains only alphanumeric characters, dashes and/or underscores. Please do not add spaces or other characters to the titles. To ensure the file is processed appropriately, the dot prior to the file extension (as in ".pdf") should be the only dot in your filename. Thank you!

Accepted file types: pdf, Max. file size: 512 MB.
Accepted file types: pdf, Max. file size: 512 MB.
Accepted file types: pdf, Max. file size: 512 MB.
Accepted file types: pdf, Max. file size: 512 MB.
Accepted file types: pdf, Max. file size: 512 MB.
Accepted file types: pdf, Max. file size: 512 MB.
Accepted file types: pdf, Max. file size: 512 MB.
Accepted file types: pdf, Max. file size: 512 MB.
This field is for validation purposes and should be left unchanged.