Letter of Interest Date MM DD YYYY Name of Organization Name of Project or General Support Address Address 1 Address 2 City State/Province Zip/Postal Code Country Contact Person Email Address * Amount Requested Total Project Budget Have you ever applied for funding from the Two West Foundation before? If you received funding from the Two West Foundation: Amount Received: Date Funded: Do you have 501 (c)(3) status: Yes No If no, who is your fiscal agent/sponsor? Briefly describe the work for which you are requesting funding: *Email a copy of your final report if you have previously received funding from the Two West Foundation. Thank you!