National Grid
In-Kind Donations of Excess Property Form Please read our Grant Guidelines (pdf) before filling out the application.
Section 1 of 2 (Required Information = required information)
Your Organization
Required InformationLegal name of organization:
Required InformationAre you affiliated with a state or national organization?
Required InformationIs your location served by us?
Required InformationIn which area does your organization serve?
Required InformationDoes your organization receive United Way funding?
Required InformationIs your organization an IRS 501 (c)(3) organization?
Required InformationWhat is your Taxpayer ID number?  — 
Required InformationHow do you define your services?

Green Line
Organization's Address
Required InformationStreet:
Required InformationCity:
Required InformationState:     Required InformationZip Code:
Required InformationCounty:
Required InformationTelephone:
Fax Number:
Email Address:
Website URL:
Applicant's Information
Required InformationLast Name:
Required InformationFirst Name:
Middle:
Required InformationTitle:
Required InformationStreet:
Required InformationCity:
Required InformationState:     Required InformationZip Code:
Required InformationTelephone:
Fax Number:
Email Address:
Section 2 of 2  
In-Kind Request
Required InformationDecription and Quantity of items you are requesting:
Description of item: Quantity of item:  
 
 
 
Required InformationHow will these items benefit your organization?
Required InformationBest time to call to schedule pick-up?