Instructions & Check list
Application Form
For grant requests
over $15,000,
write a proposal following the outline below
For grant requests
of $15,000 or less,
please use this application form.
Instructions & Check list |
Application Form |
A. Name of Organization.
B. Name of Project.
C. Address.
D. Contact person, title, telephone and fax numbers, and email address.
E. Amount Requested.
F. Preferred payment date.
A. Statement of Purpose.
B. Description of the organization and its activities.
C. Organization’s utilization of volunteers, including number of volunteers and in what capacities they serve.
A. Describe the community need/problem being addressed by this project.
B. Describe the project, including specific activities planned and the timetable.
C. Describe expected outcomes, including the number of young people to be served and from what age groups.
Describe the project evaluation plan.
A. How will the funds you are requesting be used?
B. Other funding requests. Please list all other sources you are requesting funding from, the amount you are requesting and if funding has been approved. Please include general fundraising activity and in-kind services information.
C. Plans for ongoing funding.
A. Determination Letter (verification of 501 (c)(3) tax-exempt status.
B. Copy of Articles of Incorporation.
C. Copy of project budget.
D. Copy of organization’s current operating budget.
E. Copy of most recent audited financial statement.
F. Current list of Board of Directors.
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