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Home
About
Services
Careers
Contact
Forms
- ASF Info Form
- ASF Detail Form

Home
About
Services
Careers
Contact
Forms
- ASF Info Form
- ASF Detail Form

ASF Detail Form

Name of the Organization (Legal) *

Doing Business As (DBA) *

Year Original Facility Was Built *

501(c)(3) (Requires a hard copy to submit grant application) *

Yes
No

Federal EIN # (same as 501c3) *

UEI number/registration through SAM.GOV website *

Website / URL *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Municipality and County *

Organization type (religious, educational, medical, other) *

Mission Statement (500 Character or Less): *

Additional sites and locations (if applicable)

Addresses for additional sites (also include building, Parking lot, Imam house etc…)

Head of the organization/Authorized Signatory *

Email

Title

Phone #

Is your site historic?

Have you had a Security Assessment Vulnerability (SAV) completed?

Yes
No

If SAV not completed, have you done a facility self-assessment?

Based on your mission statement please summarize your organization’s ideology, beliefs and mission

Points of contacts( Including Project Manager) *

Email *

Phone *

Contact #2 *

Email *

Phone *

Contact #3 *

Email *

Phone *

Have you had or aware any terrorist / bias incident within your county?

Do you have relationship with your local and county law enforcement?

Yes
No

Has your local law enforcement conducted a walk through in case for active shooter?

Yes
No

Have you ever applied for any of these grants

State
Fema
Other

If you have applied for the grants, When did you apply? What were the results?

How many members are in your congregation?

On average, how many people come to worship besides major holidays?

How many people attend services during your major Holidays’ celebrations?

What other services besides worship your organization provides to the community? (for example: soup kitchen, recreational, facility rentals, festivals..etc.)

Do you currently have the emergency operation plan (EOP), which covers all hazards in place?

Is your site a shelter for natural or manmade disasters?

Is your location used as a poll station?

Do you have a daycare or after school program on your site?

Yes
No

If you have a daycare or afterschool program on your site, How many children attend?

Do you have a private school on your site?

Yes
No

If you have a private school on your site, How many children attend? What are there grades?

Do you conduct religious classes/studies on your site? (weekend school)

What is the estimated size/square footage under your site?

What are your current security concerns?

How would you like to spend your grant money? (security cameras, exterior lights, fence, security film, exterior doors, locks, generators, PA system, portable radios etc…) list by priority

What are any additional concerns or comments you have?

Are you part of local interfaith group?

Form Completed By

Signature

Clear Signature

Application Fee *

Price: $250.00

PayPal Commerce *

Card Number

Expiration Date

Security Code

Card Holder Name

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Date

Latest posts

The Importance of Grant Writing for Non-ProfitsMarch 9, 2023
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ASF Detail Form

ASF Detail Form

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