Submission | Lithia4Kids

2024

Grant Submission Period

We are currently open to submissions for 2024. Please click the link below to submit your organization.

November 01

Submissions opened

November 30

Submission deadline

Submitter Info

First Name*

Last Name*

Phone*

Email*

Organization Info

Organization*

Tax ID*

Address*

ZIP Code*

City*

State*

Organization W9*

Upload File

Please upload a JPG or PDF no larger than 10MB

Uploading...

fileuploaded.jpg

Upload failed. Max size for files is 10 MB.

Organization Website*

Tell us about your organization!*

Organization Brochure or Flyer*

Upload File

Please upload a JPG or PDF with more information about your organization

Uploading...

fileuploaded.jpg

Upload failed. Max size for files is 10 MB.

Number of children locally served*

Donation amount requested*

Request for cash or other donation item?

Cash/CheckOther

Is this request supporting an event/program?*

Yes

No

If yes, please describe the event/program

How will your organization use the donation?*

Is there a Lithia & Driveway employee involved with your organization?*

Yes

No

If yes, please provide the employee name

What Lithia & Driveway store is closest to you?

How can Lithia & Driveway employees become involved in the event/program?

Have you received funding from us in the past?*

Yes

No

Additional Comments

*Indicates required fields

Thank you for your submission!

Our team is reviewing and will be in touch on next steps.

Back Home

Oops! Something went wrong while submitting the form.