Submit Grant Request

If you believe your proposal fits within the foundation guidelines, please complete the following application and click the submit button. If you prefer submitting your application by way of traditional mail, please send the following details to: Hermanowski Foundation, PO Box 810005, Boca Raton, Fl. 33481. This application may also be submitted electronically to familyfoundation@hotmail.com.

Download Printable Application – Word Document
Download Printable Application – PDF Document

Hermanowski Family Foundation Initial Request Form
Organization Name:
Legal Name:
(if Different)
Also Known As:
Mailing Address:
City:
State:
Postal Code:
Main Phone:
Main Fax:
Organization Website:
Employer ID Number:
Organization Tax Status:

Proposal Information
Today’s Date:
Requested Amount:($1,000 – $10,000)
Project Title:
Project Description: (Limit to 300 Words)
Total Project Budget:

Other Funding
Sources For The Project (Commited & Potential):
Project Duration:
Geographical Area Served:
Age Group To Be Served:

Contact Information
Contact Prefix (Mr, Mrs, etc):
Contact First Name:
Contact Last Name:
Contact Title:
Contact Phone:
Contact Email: