Organization Name:
Contact Person:
Address:
Phone:
Project Name:
Email:
Website:
Date Submitted:
Grant Amount Requested: ($500 max per request)
Check Made Out To:
1. Describe your organization’s background or purpose. For example, how long have you been organized, what projects have you completed, what projects are underway, etc.
2. Describe the service/benefit to the community that is currently not being met. For example, what is not being addressed, who is not being served, etc.
3. Describe your approach for dealing with the specific community problem or unmet need. For example, who will be served, how many people will be impacted, the number of times an activity will be performed, how long will it take to affect the change, etc.
4. Describe any other organizations or projects that are performing similar or complementary activities:
5. List criteria and expected results that will determine the effectiveness of this grant. Provide quantifiable outcomes:
6. List all other sources of funding you have received or are pursuing for this project or program. For example, cash, grants, in-kind products and services, volunteers, etc:
7. List partnerships or use of other programs or resources you will be utilizing:
Personnel Expenses
Operating Costs:
