Grant Application | DDVA Foundation

Delta Dental of Virginia Foundation

2019-2020 Grant Application

Please review the grant guidelines in detail, including the required documentation to accompany the application, before filling out the application below for your grant request. Pay close attention to the 50 word limits as applications that exceed these limits will not be considered.

The application can be submitted electronically here or download the printer-friendly PDF version and submit via fax to 540-776-8106 or mail to DDVA Foundation, 4818 Starkey Road, Roanoke, VA 24018. Required documentation should be emailed to:

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Organization Information


Grant Request Information

The funding will be used to purchase or provide financial support for (choose one):*

I would like to receive communications from the Delta Dental of Virginia Foundation.

Applicant authorizes the DDVA Foundation to use, publish and reference recipient’s name, location, logos and/or related images and information in any Foundation public relations materials or news releases.