Grant Application

You MUST be in a local event area to be considered for a grant.

Screening grants will be given priority. We will not consider grants that aren’t colorectal cancer-related.

Before you apply, check our current library of educational materials available to your organization.

Before you begin this application, please make sure you have the following completed and/or ready to go:

Your current program or grant budget
Any additional supporting documents
Submitted any previous recap forms if applicable
A current W9
Your organization logo

Please note:

Grants are a collaborative effort between you and the Coalition to impact the Get Your Rear in Gear communities we serve
Grant funds cannot be used to pay salaries or indirect expenses
Screening and patient support grants will be prioritized
For education and awareness initiatives or other questions, contact us before applying
Grants not meeting these criteria will not be considered

"*" indicates required fields

Application Date*

About Your Organization

Organization Name*

Logo*

Drop files here or

Max. file size: 300 MB.

Your Name*

First Last

Title*

Email*

Phone*

Website*

Short description of and main purpose of your organization.*

Grant Background

Have you received funding from the Colon Cancer Coalition in the past?*

Yes

If you have not yet submitted a grant recap form, please do so now.

Complete the form here.

New applications will not be considered without a recap completed for previous funds.

What was the last year you received funding and how much?

Who recommended you for this grant?*

What Get Your Rear in Gear event are you associated with?*

You MUST be in a local event area to be considered for a grant.

Grant Information

Amount Requested*

Purpose of Grant*

Once you have selected your purpose(s), you will be asked to fill out the % of each category your grant will cover. The total for all categories must add up to 100%.

Screening

Education / Awareness

Patient / Caregiver Support

Research

Advocacy

Screening %*