New Website User Account

You will use your username and password to log-in here, so write this information down and keep it in a safe place.

NOTE: Passwords must be at least 6 characters in length and contain at least one uppercase letter and one number.

Username

Password

Organization Profile

Please provide us with the following details about your organization (* required fields):

Organization Name *

(select your organization from the dropdown, if applicable)

Doing Business As (DBA, if applicable)

(select your organization from the dropdown, if applicable)

Does your organization have two consecutive years of operating loss? * Yes
No
Do you have at least five board members? * Yes
No
If applying for a capital campaign, has at least 65% of the total cost been raised to date? * Not applying for a capital campaign
Yes
No

Do your organization's programs include any of the following: * Youth Development: Academic Tutoring, Character Development, Financial Literacy, Leadership, One-To-One Mentoring, STEM or STEAM, Vocational Training
Adult Work Programs: Job Placement, Paid On-The-Job Training, Vocational Training
Entrepreneurship
Community Rooms (in rural Colorado)
Pregnancy Center
Bereavement
Veterans
None of the above

Are you serving clients in the state of Colorado? * Yes
No

Physical Street Address *

City *

State *

ZIP Code *

Mailing Street Address * Same as Physical Address

City *

State *

ZIP Code *

County of your Headquarters *

NOTE: You will receive a secure verification code to access your account during login.
If you wish to receive the code via text, please enter a mobile number – standard message rates may apply.

Phone *

Fax

Website URL

Executive Director

Name *

Email *

Phone *

Application Contact

Our Executive Director is our application contact

Name *

Email *

Phone *

Which Colorado counties does your organization currently serve?

Denver (Adams, Arapahoe, Boulder, Broomfield, Clear Creek, Douglas, Gilpin, Jefferson, Weld)
Alamosa	Dolores	Kiowa	Montezuma	Rio Grande
Archuleta	Eagle	Kit Carson	Montrose	Routt
Baca	El Paso	La Plata	Morgan	Saguache
Bent	Elbert	Lake	Otero	San Juan
Chaffee	Fremont	Larimer	Ouray	San Miguel
Cheyenne	Garfield	Las Animas	Park	Sedgwick
Conejos	Grand	Lincoln	Phillips	Summit
Costilla	Gunnison	Logan	Pitkin	Teller
Crowley	Hinsdale	Mesa	Prowers	Washington
Custer	Huerfano	Mineral	Pueblo	Yuma
Delta	Jackson	Moffat	Rio Blanco

Grant Application Center

New Website User Account

Organization Profile

Executive Director

Application Contact

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