Inbound Grant Submission Form

Thank you in advance for submitting this form. This will help our Finance team more effectively process and track your gift.

If you have any questions about this form, please contact Jennifer Turner, Vice President of Philanthropy, or Beth Milikan, Controller.

Basic Information

First Name *

Last Name *

Email *

Email

Confirm Email *

Confirm Email

Fund Name *

Name of the CICF fund that will be receiving the incoming grant.

Name of Funder *

Allen Whitehill Clowes Charitable Foundation, Inc

Eli Lilly Company

The Lilly Endowment

City of Indianapolis

Richard Fairbanks Foundation

AES Indiana

Auditor (State of Indiana or Local)

IU Health

JP Morgan Chase

Fifth Third Bank

PNC Bank

Citi Bank

Huntington National Bank

BMO Harris Bank

Merchants Bank

Other

Which funder will be sending you funds?

Please type in the name of the funder. *

Other than the Finance team, please write the name(s) of anyone at CICF who should be notified of this incoming grant.

Grant Information

Grant Purpose *

Grant Period - Start Date *

Grant Period - End Date *

Expected Amount *

This can be a dollar range (I.e. $25,000-$50,000) based on the amount you expect or the amount you requested.

Are there federal funds associated with this grant? *

Yes

No

Grant Requirements *

Example: Payment schedule, report timeline, required partners, match requirement, etc.

Upload File(s)

Drop a file here or click to upload Choose File

Maximum file size: 268.44MB

Example: Grant Proposal/Application