Referral Service for a Certified Grant Writer Consultant

AGWA's provides our Referral Service at no charge.  If you have a Nonprofit Organization or For Profit Business, please provide the following information so that one of AGWA's Certified Grant Writer® may contact you.  You will be contacted by e-mail or phone the following business day and the Grant Consultant will quote prices to write grants based on an hourly rate or a project rate.    All of AGWA's Certified Grant Writers® adhere to AGWA's Professional Standards and Code of Ethics.  Please note that is unethical for a Certified Grant Writer® to work on a percentage basis.

1.
Contact Person's Name*

Contact Person's Name*

2.
Phone Number  xxx-xxx-xxxx*

Phone Number xxx-xxx-xxxx*

3.
E-mail Address*

E-mail Address*

4.
Name of Your Organization*

Name of Your Organization*

5.
Organization's Mailing Address*

Organization's Mailing Address*

6.
City State Zip Code*

City State Zip Code*

7.
Type of Business Structure

Type of Business Structure






8.
Date of Organization's Incorporation or Start Date*

Date of Organization's Incorporation or Start Date*

9.
If you organization has a website, please give the URL address

If you organization has a website, please give the URL address

10.
What services or products does your organization provide?*

What services or products does your organization provide?*

11.
What would you like to fund from future grant funding?*

What would you like to fund from future grant funding?*

12.
List name of grant If you have already identified a grant opportunity

List name of grant If you have already identified a grant opportunity

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