Letter of Inquiry Form

Organization Name *

Address

Address Line 1

City

State

Zip Code

County *

EIN *

Contact Person *

First

Last

Phone Number *

Email *

Title of project/program *

Briefly describe the project/program (1-2 paragraphs) *

Briefly describe the planned major outcomes and evaluation plan *

Briefly describe how grant funds will be used *

Total cost of the project/program for the time frame stated above *

Amount requested from Daisy Marquis Jones Foundation *

Time frame of the project/program *

Date funds are needed *