Grants Form

Emmanuel Oyebobola Fatusin Foundation

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Grant Form

Section A: Applicant Information

First Name

Last Name

Gender (M/F)

Date of Birth

State

Local government

Country

Phone Number

Email

Current Address:

Section B: Grant Category Selection

Please select the primary reason for your application.

Section C: Household & Financial Context

Current Employment Status:

Employed Full-time

Employed Part-time

Self-Employed / Small Business Owner

Unemployed

Retired

Section D: Grant Request Details

(Please answer the section that corresponds to your selection in Section B)

Section B1: Small Business & Livelihood Grants

Business Name (if applicable)

Type of Business/Idea

How long have you been operating?

Specific Need: (e.g., equipment, inventory, marketing, training)

Description of Request: (Explain what you need the funds for and how it will help sustain or grow your livelihood)

Amount Requested (Naira)

Section B2: Medical & Health Support Grants

Type of Support Needed

Medical Procedure / Surgery

Medication / Prescription

Therapy / Rehabilitation

Medical Equipment / Mobility Aid

Other

Description of Medical Need: (Explain the diagnosis, required treatment, and urgency)

Amount Requested (Naira)

Section B3: Emergency & Crisis Support Grants

Type of Emergency

Fire

Flood

Landslide

Drought

War

Displacement

Other

Description of Crisis: (Explain the immediate situation, how it occurred, and how funds will resolve the crisis).

Amount Requested (Naira)

Attach supporting documents

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info@eoffoundation.com
+234 708 5053 466

Grants Form

Section A: Applicant Information

Section B: Grant Category Selection

Section C: Household & Financial Context

Section D: Grant Request Details

Section B1: Small Business & Livelihood Grants

Section B2: Medical &amp; Health Support Grants

Section B3: Emergency &amp; Crisis Support Grants

Section B2: Medical & Health Support Grants

Section B3: Emergency & Crisis Support Grants