Family Foundation Grant Application

Please gather all requirements listed below in the Grant Application Format before filling out the form!

The below form is ONLY a cover sheet.

Please read the requirements below first and make sure to gather/prepare all required documents BEFORE you fill out this form.

Grant Application Format

Please provide the following information in this order. Use these headings, subheadings and numbers provided in your own word processing format, thus leaving flexibility for length of response.

A. NARRATIVE

1. Executive Summary

· Begin with a half-page executive summary. Briefly explain why your agency is requesting this grant, what outcomes you hope to achieve, and how you will spend the funds if the grant is made.

2. Purpose of Grant

· Statement of needs/problems to be addressed; description of target population and how they will benefit.

· Description of project goals, measurable objectives, action plans, and statements as to whether this is a new or ongoing part of the sponsoring organization.

· Timetable for implementation.

· List of other partners in the project and their roles.

· List of similar existing projects or agencies, if any, and explain how your agency or proposal differs, and what effort will be made to work cooperatively.

· Description of the active involvement of constituents in defining problems to be addressed, making policy, and planning the program.

· Description of the qualifications of key staff and volunteers that will ensure the success of the program. List of specific staff training needs for this project.

· Long-term strategies for funding this project at end of grant period.

3. Evaluation

· Plans for evaluation including how success will be defined and measured.

· Description of how evaluation results will be used and/or disseminated and, if appropriate, how the project will be replicated.

· Description of the active involvement of constituents in evaluating the program.

4. Budget Narrative/Justification

· Grant budget; use the Grant Budget Format that follows, if appropriate.

· A plan (on a separate sheet) that shows how each budget item relates to the project and how the budgeted amount was calculated.

· List of amounts requested of other foundations, corporations and other funding sources to which this proposal has been submitted.

· List of priority items in the proposed in the proposed budget, in the event that we are unable to meet your full request.

5. Organization Information

· Brief summary of organization’s history.

· Brief statement of organization’s mission and goals.

· Description of current programs, activities and accomplishments.

· Organizational chart, including board, staff and volunteer involvement.

B. ATTACHMENTS

1. A copy of the current IRS determination letter indicating 501(c)(3) tax-exempt status.

2. List of Board of Directors with affiliations.

3. Finances:

· Organization’s current annual operating budget, including expenses and revenue.

· Most recent annual financial statement (independently audited, if available; otherwise, attach Form 990).

4. Letters of support should verify project need and collaboration with other organizations. (Optional)

5. Annual report, if available.

Grant Application Cover Letter

After gathering all the above materials, please fill out this form and attach all other requirements using the file attachment feature at the end of the form.

Date of Application(Required)

Legal Name of Organization Applying(Required)

Year Founded(Required)

Current Operating Budget(Required)

Executive Director(Required)

Email Address(Required)

Contact person (if different from Executive Director)

Contact Phone Number (w/ area code)(Required)

Address (principal/administrative office)(Required)

Street Address Address Line 2 City State ZIP Code

Business Phone Number (w/ area code)(Required)

Fax number (w/ area code)

Website URL(Required)

List any previous support from this funder in the last 5 years:

Project Name(Required)

Purpose of Grant (in one sentence)(Required)

Date of Project Start(Required)

Date of Project End(Required)

Amount Requested in $(Required)

Total Project Cost in $(Required)

Geographic Area Served(Required)

eSignatures

eSignature of Chairperson, Board of Directors(Required)

Signature Date(Required)

eSignature of Executive Director(Required)

Signature Date(Required)

File(Required)

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 256 MB, Max. files: 20.

Please make sure to attach the following in either PDF, DOC, or DOCX formats:

-Executive Summary
-Purpose of Grant
-Evaluation
-Budget Narrative/Justification
-Organization Information
-Current IRS determination letter indicating 501(c)(3) tax-exempt status
-List of Board of Directors with affiliations
-Grant Budget (downloaded from button above and filled out)
-(OPTIONAL) Letter of Support
-Annual report, if available.

Comments

This field is for validation purposes and should be left unchanged.

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