Application for Foundations/Organizations

Organization Name(Required)

Contact Person Name(Required)

Contact Email(Required)

Contact Phone Number(Required)

Organization Website (if applicable)

EIN/Tax ID

Brief description of your organization’s mission and services (500 characters or less)

Specific programs or initiatives that align with the HAE Fired Up Foundation’s mission

Amount of funding requested

Purpose of the funding (e.g., therapy services, housing assistance, educational programs)

Detailed description of how the funding will be used (optional document upload)

Detailed description of how the funding will be used (optional document upload)

Max. file size: 50 MB.

Estimated number of survivors supported annually by your organization

How will this grant amplify your organization’s impact?

Upload nonprofit status documentation

Upload nonprofit status documentation

Max. file size: 50 MB.

Upload a detailed budget or proposal for requested funds (optional)

Upload a detailed budget or proposal for requested funds (optional)

Max. file size: 50 MB.

Phone

This field is for validation purposes and should be left unchanged.

Fueling Triumph Through Trauma