{"id":9,"date":"2008-04-17T04:14:30","date_gmt":"2008-04-17T09:14:30","guid":{"rendered":"http:\/\/hermanowskifoundation.org\/members\/?page_id=9"},"modified":"2025-07-22T08:41:02","modified_gmt":"2025-07-22T13:41:02","slug":"submit-grant-request","status":"publish","type":"page","link":"https:\/\/hermanowskifoundation.org\/members\/?page_id=9","title":{"rendered":"Submit Letter of Interest"},"content":{"rendered":"<p style=\"line-height: 1.5em; color: #000;\">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 <a href=\"mailto:hermanowskifoundation@gmail.com\">hermanowskifoundation@gmail.com<\/a><\/p>\n<p style=\"line-height: 1.5em; color: #000;\"><a href=\"http:\/\/hermanowskifoundation.org\/application.doc\">Download Printable Application &#8211; Word Document<\/a><br \/>\n<a href=\"http:\/\/hermanowskifoundation.org\/application.pdf\">Download Printable Application &#8211; PDF Document<\/a><\/p>\n<p><script src=\"https:\/\/www.google.com\/recaptcha\/api.js\" async defer><\/script><\/p>\n<form action=\"\/application.php\" enctype=\"multipart\/form-data\" method=\"post\">\n<table border=\"0\" width=\"100%\" cellspacing=\"2\" cellpadding=\"4\">\n<tbody><!-- Begin Section --><\/p>\n<tr>\n<td colspan=\"2\">\n<h2 style=\"font-size: 16px;\">Hermanowski Family Foundation Initial Request Form<\/h2>\n<hr noshade=\"noshade\" size=\"1\" \/>\n<\/td>\n<\/tr>\n<tr>\n<td align=\"right\" width=\"180\">Organization Name:<\/td>\n<td class=\"Dashed_Bottom\" width=\"280\"><input name=\"Organization Name\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\">Legal Name:<span style=\"color: #990000; font-size: xx-small;\"><br \/>\n(if Different) <\/span><\/td>\n<td class=\"Dashed_Bottom\"><input name=\"Legal Name\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\">Also Known As:<\/td>\n<td class=\"Dashed_Bottom\"><input name=\"Also Known As\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\">Mailing Address:<\/td>\n<td class=\"Dashed_Bottom\"><input name=\"Mailing Address\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\">City:<\/td>\n<td class=\"Dashed_Bottom\"><input name=\"City\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\">State:<\/td>\n<td class=\"Dashed_Bottom\"><input name=\"State\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\">Postal Code:<\/td>\n<td class=\"Dashed_Bottom\"><input name=\"Postal Code\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\">Main Phone:<\/td>\n<td class=\"Dashed_Bottom\"><input name=\"Main Phone\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\">Main Fax:<\/td>\n<td class=\"Dashed_Bottom\"><input name=\"Main Fax\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\">Organization Website:<\/td>\n<td class=\"Dashed_Bottom\"><input name=\"Organization Website\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\">Employer ID Number:<\/td>\n<td class=\"Dashed_Bottom\"><input name=\"Employer ID Number\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\">Organization Tax Status:<\/td>\n<td class=\"Dashed_Bottom\"><input name=\"Organization Tax Status\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<p><!-- Eng Section --><!-- Begin Section --><\/p>\n<tr>\n<td colspan=\"2\">\n<h2 style=\"font-size: 16px;\">Proposal Information<\/h2>\n<hr noshade=\"noshade\" size=\"1\" \/>\n<\/td>\n<\/tr>\n<tr>\n<td align=\"right\">Today\u2019s Date:<\/td>\n<td class=\"Dashed_Bottom\"><input name=\"Today Date\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\">Requested Amount:<span style=\"color: #990000; font-size: xx-small;\">($1,000 &#8211; $10,000)<\/span><\/td>\n<td class=\"Dashed_Bottom\"><input name=\"Requested Amount\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\">Project Title:<\/td>\n<td class=\"Dashed_Bottom\"><input name=\"Project Title\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\">Project Description: <span style=\"color: #990000; font-size: xx-small;\">(Limit to 300 Words)<\/span><\/td>\n<td class=\"Dashed_Bottom\"><textarea cols=\"45\" name=\"Project Description\" rows=\"5\"><\/textarea><\/td>\n<\/tr>\n<tr>\n<td align=\"right\" width=\"180\">Total Project Budget:<\/td>\n<td class=\"Dashed_Bottom\" width=\"280\"><input name=\"Total Project Budget\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<p><!-- Eng Section --><!-- Start Section --><\/p>\n<tr>\n<td colspan=\"2\">\n<h2 style=\"font-size: 16px;\">Other Funding<\/h2>\n<hr noshade=\"noshade\" size=\"1\" \/>\n<\/td>\n<\/tr>\n<tr>\n<td align=\"right\" width=\"180\">Sources For The Project (Commited &amp; Potential):<\/td>\n<td class=\"Dashed_Bottom\" width=\"280\"><input name=\"Sources For The Project\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\" width=\"180\">Project Duration (refer to grant guidelines):<\/td>\n<td class=\"Dashed_Bottom\" width=\"280\"><input name=\"Project Duration\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\" width=\"180\">Geographical Area Served:<\/td>\n<td class=\"Dashed_Bottom\" width=\"280\"><input name=\"Geographical Area Served\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\" width=\"180\">Age Group To Be Served:<\/td>\n<td class=\"Dashed_Bottom\" width=\"280\"><input name=\"Age Group To Be Served\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<p><!-- Eng Section --><!-- Start Section --><\/p>\n<tr>\n<td colspan=\"2\">\n<h2 style=\"font-size: 16px;\">Contact Information<\/h2>\n<hr noshade=\"noshade\" size=\"1\" \/>\n<\/td>\n<\/tr>\n<tr>\n<td align=\"right\" width=\"180\">Contact Prefix (Mr, Mrs, etc):<\/td>\n<td class=\"Dashed_Bottom\" width=\"280\"><input name=\"Contact Prefix\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\" width=\"180\">Contact First Name:<\/td>\n<td class=\"Dashed_Bottom\" width=\"280\"><input name=\"Contact First Name\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\" width=\"180\">Contact Last Name:<\/td>\n<td class=\"Dashed_Bottom\" width=\"280\"><input name=\"Contact Last Name\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\" width=\"180\">Contact Title:<\/td>\n<td class=\"Dashed_Bottom\" width=\"280\"><input name=\"Contact Title\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\" width=\"180\">Contact Phone:<\/td>\n<td class=\"Dashed_Bottom\" width=\"280\"><input name=\"Contact Phone\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<tr>\n<td align=\"right\" width=\"180\">Contact Email:<\/td>\n<td class=\"Dashed_Bottom\" width=\"280\"><input name=\"Contact Email\" size=\"60\" type=\"text\" \/><\/td>\n<\/tr>\n<p><!-- Eng Section --><\/p>\n<tr>\n<td colspan=\"2\">\n<hr noshade=\"noshade\" size=\"1\" \/>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" colspan=\"2\">\n<div class=\"g-recaptcha\" data-sitekey=\"6Ldxn1YaAAAAAFgxZrcIat8N4jmMUmF9DIoo9vHG\"><\/div>\n<p><input id=\"g-recaptcha\" name=\"recaptchaToken\" type=\"hidden\" value=\"\" \/><br \/>\n<input style=\"width: 100%; height: 30px; font-size: 13px; font-weight: bold; font-family: Geneva, Arial, Helvetica, sans-serif;\" type=\"submit\" value=\"Submit Info\" \/><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/form>\n","protected":false},"excerpt":{"rendered":"<p>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 hermanowskifoundation@gmail.com [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":0,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-9","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/hermanowskifoundation.org\/members\/index.php?rest_route=\/wp\/v2\/pages\/9","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hermanowskifoundation.org\/members\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/hermanowskifoundation.org\/members\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/hermanowskifoundation.org\/members\/index.php?rest_route=\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/hermanowskifoundation.org\/members\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=9"}],"version-history":[{"count":15,"href":"https:\/\/hermanowskifoundation.org\/members\/index.php?rest_route=\/wp\/v2\/pages\/9\/revisions"}],"predecessor-version":[{"id":8554,"href":"https:\/\/hermanowskifoundation.org\/members\/index.php?rest_route=\/wp\/v2\/pages\/9\/revisions\/8554"}],"wp:attachment":[{"href":"https:\/\/hermanowskifoundation.org\/members\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}