Awardee Information

Congratulations on your selection as a FUEL for 50 awardee! In order to move forward with the award process, we need to gather a bit of information. Please complete the following at your earliest convenience and no later than February 22, 2022.

Awardee Agreement

Provide the full name, title, and email address of the contract signatory (the person that will sign your awardee agreement on behalf of your organization).

Full Name *

Title *

Email Address *

Financial Information

Please upload a scanned copy of your organization’s 501(c)(3) determination letter and provide contact information for TWO representatives of the organizations (one may be the signatory of the awardee agreement above!) whom we can be in touch with to arrange a wire transfer of the $25,000 award.

Primary Organization Name *

501(c)(3) Determination Letter *

Click or drag a file to this area to upload.

Please upload a scanned copy of your organization’s 501(c)(3) determination letter.

Full Name of Primary Program Contact *

Program Contact Title *

Program Contact Email Address *

Full Name of Finance Contact *

Finance Contact Title *

Finance Contact Email Address *

Contact for Delivery

Robin Hood plans to send your organization a physical box to celebrate your accomplishment. Please provide the best address for us to send this package.

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code