Please complete the following information to determine your organization's eligibility for funding from The Dayton Foundation. Click "Submit" below when finished.

1. What is your organization's name?:
2. Is your organization a registered 501(c)(3)?: Please Choose Yes No
3. What is the geographic area that your organization serves (check all that apply)? Only organizations that serve one or more of the following counties are eligible for a Dayton Foundation discretionary grant.
   Darke County
   Greene County
   Miami County
   Montgomery County
   Preble County
   Warren (north) County
   
4. What is your e-mail address?: