Helping Heroes Grant Application

Applicant Information

Organization Name

Primary Contact Name

Job Title

Street Address

City

State

Zip Code

Email Address

Primary Phone Number

Counties Operate In

Type of Organization

EIN Number

How did you learn about the NMGC Helping Heroes Program

Have you previously received grant funding, sponsorships, donations, or scholarship funding from NMGC?

Are you related or closely affiliated with anyone who is currently employed by NMGC?

What is the mission/purpose of your organization?

Describe the programs/ services your organization provides.

What year was your organization founded/incorporated?

How many paid employees does your organization employ?

How many active volunteers does your organization have?

Does your organization have social media? If so, please list your social media handles.

Total amount requested (whole numbers, no commas)

If approved, by what date would you require funding or support? (MM/DD/YYYY)

Please describe how funding will be used.

Total project budget (whole numbers, no commas)

Do you have any other funders contributing towards this project?

Please enter other funders including their commitment status, name, and their financial/in-kind contribution.

Is this a new or on-going program/project?

Project Start Date (MM/DD/YYYY)

Project End Date (MM/DD/YYYY)

Please describe how your request will benefit your community? How will your request contribute to the increased safety of your community?

Does this project/program involve partnership with any indigenous communities, organizations or governing bodies? If yes, please supply the names of any indigenous communities that will benefit from this program/project.

Do any NMGC employees volunteer within your organization? If yes, please indicate their name(s) and role(s).

Date Of Application 12/22/2024

Full Name

Application Number 4858920

I have read, reviewed and understand the 2024 Helping Heroes Guidelines. Applications must be received by December 1, 2024. Refer all questions to the Helping Heroes Committee at clair.anderson@nmgco.com

2024 New Mexico Gas Company Helping Heroes Grant Program Application

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Helping Heroes Grant Application

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