Letter of Inquiry

Fill in this form to determine your eligibility for a grant from the Levinson Foundation.
Full proposals are accepted by invitation only.

If you have problems submitting your materials online click here for a printable form
and send it via regular mail or scan and email.

Organization Name:

Project Name:

Contact Person: Title:
Address:

City: State/Province:
Zip: Country:
E-Mail: Phone: Fax:

Amount Requested: Project Budget: Organization Budget:
Number of Staff: Number of Members: Date Founded:

Project Description (brief):

Have you ever received funds from The Levinson Foundation?
If so, when? How much?

How did you hear about The Levinson Foundation?

What are your sources of funding? Include amounts.

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