Corte Madera Community Foundation


Corte Madera Emergency Preparedness Fund

Grant Application

Applicant’s name:

Phone #:E-mail:


Organization or project to benefit:

History, location, and date established:

Summary of the purpose of this request (please include who and how many will benefit and how criteria will be met):

Project time period:

Status Report date (within 12 month of funding):

If applicable, how will ongoing maintenance costs to be covered?

Amount and source of any matching funds:

Amount of funding requested:

*Authorized applicant’s signature:                      Date:

  1.         * Applicant agrees to use this funding for the purposes described above.

         * GRANT FUNDING will be awarded solely at the discretion of the CMEPF Grant Committee

                from available funds of the CMEPF trust account.

         * Criteria and other details are available at Grant Eligibility

Copy this page to an e-mail message, fill it out online, then send it to,

or, print this page and fill it out, then mail to: 

                                                Corte Madera Emergency Preparedness Fund

           c/o Corte Madera Community Foundation

           Post Office Box 7109

           Corte Madera CA 94976