Contribution ApplicationOrganizations must qualify for a tax exempt status Choose a category: [text*] EducationEnvironmentCommunity DevelopmentHealth & Recreation Contact information: (required)[text*] Have you received a contribution from Back Forty Mine in the past? (required)[text*] YesNo Brief description of organization: [text*](required) Description of program/project: [text*](required) Brief description of program/project goals: [text*](required) Describe the population served and where they are located: [text*](required) Describe how the program/project relates to or supports the objectives of GRC-Back Forty Mine: [text*](required) Does this program/project have other funding? [text*](required) YesNo Specific use of funds: [text*](required) (required) (required) Other comments we should know about your program/project: [text] Tax exempt status letter (doc, .docx, .pdf) Other support document (doc, .docx, .pdf)
