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Letters of Support Request Form

Please fill out all required sections marked with an asterisk(*). If you have further questions, please contact my Albany office at 518-465-0700 or email Natalie Lincoln, my office’s Grants Coordinator, at Natalie.Lincoln@mail.house.gov.

Organization Information

Name of Organization: *

Organization Website: *

Tell us about your organization: *
Provide a short description (one or two paragraphs) of your organization and the services it provides.

Organization Address

Street Address: *

Street Address: (Continued)

City: *

State: *

Zip Code: *

Point of contact at your organization for this request

First Name: *

Last Name: *

Phone Number: *

Email Address: *

Granting Agency Information

Name of granting agency: *

Grant Information

Name of Grant: *

Description of Your Grant Proposal: *

Description of Need: *
Provide an executive summary (one or two paragraphs) describing what this grant will accomplish and how it will benefit individuals, families, or specific communities across the 20th Congressional District. NOTE: This section is REQUIRED. If this section is not completed, your request will not be processed.

What support does your application have from local organizations, local officials, and the community? *
Please list all organizations and local officials below and email a single PDF file with all letters of support to Natalie.Lincoln@mail.house.gov. When emailing these documents, please use the subject line “Letter of Support Request Documents: your requesting Organization/Entity Name.

Grant Application Deadline: *

Deadline for Letter of Support: *

Constituent Services

Letters of Support Request Form

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