Chevron Catalyst Grant Application 2021 Chevron Catalyst Grant Application Did your organization receive a Chevron Catalyst Grant in 2020? * Yes No Has the organization completed the required online follow-up report that is due by October 31, 2020? * Yes No Please complete 2020 follow-up report before applying for a 2021 Chevron Catalyst Grant. Thank you. Organizational Information Organization name * Must be in South Eddy County, which includes Carlsbad, Loving, Otis, Malaga, Queen and surrounding areas. Is this organization a 501c(3)? * Yes No If so, please have your Federal Tax ID Number available. Federal Tax ID Number If no, please describe what type of charitable organization this is. Organization Mailing Address * Organization Mailing Address Street Address Street Address Organization Mailing Address City City State/Province State/Province Zip/Postal Zip/Postal Website/URL Primary Grant Requestor Name of Primary Grant Requestor * Title of Primary Grant Requestor * Email Address of Primary Grant Requestor * Enter Email Confirm Email Address of Primary Grant Requestor * Confirm Email Phone Number of Primary Grant Requestor * Area code plus number, no dashes or spaces (5555555555) Secondary Grant Requestor Name of Secondary Grant Requestor * Title of Secondary Grant Requestor * Email Address of Secondary Grant Requestor * Enter Email Confirm Email Address of Secondary Grant Requestor * Confirm Email Phone Number of Secondary Grant Requestor * Area code plus number, no dashes or spaces (5555555555) Grant Request Details Purpose (brief) * Total Cost of Project * Total cost of project. Please do not include a dollar sign ($) Amount Requested * Typical grant award is between $500 and $5,000. Enter number only, please do not include a dollar sign ($) Please provide details about how the funding will be spent. * Describe the benefit to South Eddy County and an estimate of how many people will be affected. * South Eddy County includes Carlsbad, Loving, Otis, Malaga, Queen and surrounding areas. Recipients are to complete an online follow-up report form and may be asked to provide photos (if appropriate) for use by the Carlsbad Community Foundation and/or Chevron Products Corporation. Please indicate if you agree with this requirement. * Yes, we agree to these requirements. Submit Grant Request If you are human, leave this field blank.