THE WILLIAM P. WHARTON TRUST
Choate Hall & Stewart LLP
Two International Place
Boston, Massachusetts 02110

All final applications setting forth the following information must be submitted
(i) on the web form; and (ii) by mail, six (6) 2-sided copies (NO staples or bindings) required.

Please refer to the "Application Instructions" section for further details.

Applicant:
Contact Person:   Telephone:
Address  
Address 2
City   State   Zip   Amount Requested $
Email Address:   Tax ID No.:

Brief description of your organization (history, principal accomplishments, staff, and number of members:
[ Note: Plain text only (no tables) and maximum of 2,880 characters (approximately 3/4 page of a Word document, including white spaces)]
You have 2880 characters remaining for your description...

Description of (i) the project; (ii) need for the project; and (iii) your capability to carry the project through:
(1) What will be accomplished?
(2) Does it have reasonable assurance of success?
(3) How does it seek to “break new ground”?
(4) If other funds are required, will project be started before the balance is in hand?
(5) What criteria will be used to measure success?

[ Note: Plain text only (no tables) and maximum of 14,200 characters (approximately 3 1/2 pages of a Word document, including white spaces)]
You have 14200 characters remaining for your description...

REQUIRED ATTACHMENTS (six (6) 2-sided copies - NO staples or bindings):
(1) List of Board of Directors (including occupations and other positions).
(2) Project budget.
(3) Applicant's last financial statements.
(4) Resumé of person overseeing project.
(5) Applicant's exemption letter from IRS.


Upon submission, you will receive a screen acknowledgement
as well as an email acknowledgement (with your submitted answers).