The Alzheimer's Foundation of America provides grants to its nonprofit member organizations to develop or enhance educational and support services.

Grants are awarded twice a year—in the spring and fall. The deadlines are:

Spring: (postmarked by) February 1 Fall: (postmarked by) August 1

Note:

Only AFA nonprofit member organizations may apply for AFA grants.

Grant recipients must wait one cycle before applying again for a grant under AFA's biannual grant process.

The Brodsky Grant, which is also awarded only to a nonprofit member organization, is a separate application. Applications for The Brodsky Grant are due (postmarked) May 15 of each year.

APPLY FOR A GRANT

To apply for a grant, please complete this application and click "submit" at the end of the form. In addition, you may print out this form and submit the completed application by fax or regular mail.

Fax: 646.638.1546
Address: Alzheimer's Foundation of America, 322 Eighth Ave., 6th fl., New York, NY 10001.
For more information, call 866.AFA.8484.

* Organization:

* Contact:

Title:

Address:

City:

State/Province:

* Zip Code:

* Day Telephone:
(use xxx-xxx-xxxx format)

* Email Address:

* Website Address:

* Grant is for:

* Program name(s):

PROGRAM SUMMARY

* Provide an overview of the program, including a statement
of need and objectives:

* Briefly explain how the funds will be used:

* Is this an existing or new program?

* List the area(s) that will be served by this program:

	City	County	State
1
2
3
4
5

* What criteria determines client eligibility?

* How many clients will the program serve?

BACKGROUND

* Organization's mission:

* Briefly describe the organization's history and services:

* Year organization was founded:

* Number of employees:

* Number of volunteers:

* Annual budget:

PROGRAM BUDGET

* Total Budget:

Title:

Salary:

Title:

Salary:

Title:

Salary:

Personnel Fringe Benefits

Title:

Benefits:

Title:

Benefits:

Title:

Benefits:

Equipment:

Supplies:

Advertising/Marketing:

Printing:

Travel

Insurance:

Other:

Please check that you have completed all fields. Then click on the button below to submit your application. Print the confirmation for your records.

* Indicates Response Required