Funding Request Form

North Dakota Equine Association (NDEA)

Applicant Information

Organization/Group Name:*

Contact Person:*

Title:*

Mailing Address:*

City:*

ZIP Code:*

Country:*

State:

Province:

Email:*

Phone Number:*

Do you have 501(c)(3) Status?:*

Project/Event Overview

Title of Event/Activity:

Date(s):*

Location:*

Funding Amount Requested:*

Executive Summary (2-3 sentences):

Community Impact & Alignment

Target Audience: Who will benefit from this activity (e.g., youth, local athletes, specific community groups)?:

Projected Attendance/Participation:

Mission Fit: How does this event/activity support North Dakota’s Horse Community &/or Organization’s?:

Key Objectives: List 3 specific outcomes you hope to achieve.

First Outcome:*

Second Outcome:*

Third Outcome:*

Budget & Logistics

Total Project Cost:*

Itemized Use of Requested Funds:*

Other Funding Sources: List other confirmed sponsors or fundraising efforts:*

Evaluation & Recognition

Success Metrics: How will you measure the success of this event?:*

Sponsor Recognition: How will our organization’s support be acknowledged (e.g., logo on signage, social media mentions, program listing)?:*

Submission Checklist:*

Completed and signed application form. Detailed project budget (if separate). Proof of non-profit status (if applicable). Supporting documents (flyers, previous year’s results, etc.).