Free Consultation Intake-Screening Form
Grant Writing Consultation Request
Organization Name: _______________________________________
Primary Contact:___________________________________________
Email:________________________________________________________
Phone (optional):__________________________________________
1. Organization Type
☐ Nonprofit
☐ Community group
☐ Fiscal sponsor arrangement
☐ Individual / Independent initiative
2. Funding Opportunity
☐ Specific grant identified
☐ Actively researching funders
☐ Not yet identified
(If known, list funder name and deadline)
3. Project Description
Briefly describe the program or project you want funded.
4. Timeline
☐ Less than 30 days
☐ 30–60 days
☐ More than 60 days
5. Grant Writing Support Needed
☐ Full proposal writing
☐ Review/edit only
☐ Grant readiness review
6. Budget Range (if known)
(Optional but helpful)
7. Anything else I should know?
Submitting this form does not guarantee acceptance of a project.
eMail this completed form to: kpealock@kenpealock.org
Ken Pealock
Grant Writer
website: kenpealock.org
email: kpealock@kenpealock.org
Thank you in advance...
In order to eliminate the tire-kickers, we respectfully request that you fill out this form for a free consultation. We will return your request by email or phone.
If you prefer, you can email us with answers to the following core questions:
CORE QUESTIONS
What funding are you seeking, and from whom?
What program would the grant support?
Have you applied for grants before?
Do you have required documents ready?
What is your submission timeline?
HOW I WORK
Initial Consultation – Determine fit and readiness
Program Clarification – Define outcomes and scope
Funder Alignment – Match proposal to priorities
Professional Writing – Clean, direct, compliant
Final Review – Submission-ready delivery
The initial consultation is free. I want to be transparent—grant funding is competitive, and I don’t guarantee awards. My role is to ensure your application is clear, compliant, and strategically aligned.
You need professional help, but should you prefer to "go-it-alone", check out the infographic below.
