Donation Request Form

Organization Name

Address

City

Zip Code

Website

What is the organization's mission?

Please provide information on how the grant will be used and who it will serve

How many years has the organization been in place?

What is your organization’s annual budget?

Dollar amount of grant requested?

Geographic Region Served

Your Name

Your Email

Supporting Documents

If you would you like to add any supporting documents, attach them here.

*The Gentex Foundation Board meets on a monthly cadence to review applications. It may take up to four weeks before you receive notification about the status of your application. Thank you for reaching out to the Gentex Foundation.