Virginia Vizo Financial Empowerment Grant Application

Credit Union Name

Credit Union Mailing Address

Street Address City State / Province / Region ZIP / Postal Code

Asset Size

CEO Name

CEO Phone Number

CEO Email

Number of employees (full-time and part-time)

Charter Number

Purpose of grant:

Amount requested

Total project budget

What is the proposed timeline for the project and anticipated completion date? Projects must be completed and grant funds utilized by December 31, 2024.

Do you plan to move forward with this project if you do not receive the total amount requested?

Please summarize why your credit union is requesting this grant and how this grant will empower people to achieve their financial goals and establish a better quality of life.

Please provide a budget breakdown listing anticipated expenditures and total cost of the project. Also, include all other sources of income (in-kind contributions, volunteer hours donated, etc.).

You may upload supporting documentation to submit with your grant request. Multiple attachments will be accepted.

Drop files here or

Max. file size: 50 MB.

Grant Submission Contact & Email (if different than the CEO):

Please note that grant recipients will be required to submit a grant reporting form following the completion of the project, sharing photos and success stories. The Foundation reserves the right to withhold future grant funds in the event the funds are misused.