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    Dana Home Foundation Grant Application Form

    Use this page to submit the Grant Application in .pdf format.
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    Name of organization from question 1.
    Contact person from question 20 who can answer questions about this application.
    Program name from question 19.
    Email address from question 22.
    Max file size: 20MB
    Upload a document in .pdf format that answers each numbered question in the in the order it appears in the Grant Application Part I.

    Application Information

Submit
If you have questions about this online form or experience difficulty submitting the form, please email  WebSupport@DanaHomeFoundation.org.


  1.   
  2. Grant Amount Requested  
  3. Total Budget for Program
  4. Brief Summary of Program
  5. Does organization have IRS 501(c)(3) status? (if so, skip to question 8)
  6. Is applicant a municipal or other US governmental entity intending to use the funds solely for charitable purposes?
  7. Were previous grants received from The Dana Home Foundation within the last five years? 
  8. ​Describe anticipated program timeline including anticipated program starting date and program completion date, if applicable
  9. Provide a detailed one-page summary of the proposed program’s total budget that includes:
    a.   An itemized list of projected expenses; and
    b.   All sources of funding for this program (and the amount anticipated from each source).
  10. If you anticipate this program continuing beyond this grant year, please specify how you plan to continue funding the program.
  11. Describe program funding and success in previous years. (If this is a new program, state so.)
  12. State program goals and objectives and describe your plan to meet these goals and objectives.
  13. Describe your plan to measure your achievement of program goals.
  14. Describe the target audience of the program.
  15. Provide anticipated number of seniors served by program and describe the seniors’ connection to Lexington.
  16. List any other organizations/departments you are collaborating with to accomplish the program.
  17. Describe any additional approvals needed for program. 

The Dana Home Foundation
P.O. Box 189
Lexington, MA 02420

danahomefoundation@gmail.com
​Copyright © 2023 The Dana Home Foundation