GRANT APPLICATION COVER SHEET
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| Internet Form Instructions: Please complete this form and the Project Budget Reporting Form; then print, sign, and mail them to the CCCF office. [NOTE: These forms are not "submit-able" due to the need for signatures.] |
| NARRATIVE: Please attach a brief proposal (up to 4 pages) describing: |
| 1. |
ORGANIZATION |
Brief history and purpose of your organization. |
| 2. |
PROJECT SUMMARY |
A short summary of the project/program for which you are requesting funds. |
| 3. |
NEEDS STATEMENT |
The need for and importance of the project. What factors contribute to the need? |
| 4. |
PROJECT OBJECTIVES |
State the objectives of the project in measurable terms. |
| 5. |
YOUTH INVOLVEMENT |
If this is a youth related project, how will the project benefit young people? What is the opportunity for youth participation? |
| 6. |
METHODS |
What is your plan to accomplish the objectives? Include a timeline if appropriate. |
| 7. |
EVALUATION PLAN |
How will the progress and success of the project be measured? |
| 8. |
PROJECT BUDGET |
Complete the "Project Budget Reporting Form" as it relates to your proposal. |
| 9. |
FUTURE FUNDING |
How will the project be supported in the future? |
| ATTACHMENTS: One copy of each of the following attachments for your organization must be included: |
- List of the governing board and its officers
- Copy of the IRS Determination Letter of 501(c)(3) status (or fiscal agent's letter)
- Most recent annual report
- Copy of the organization's current fiscal year operating budget
- Most recent financial audit
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| All requested materials must be received in the Foundation office by 4:00 P.M. on the deadline date of March 1 or October 1, or the next business day following a weekend or holiday. OUR GOVERNING BOARD approves the submission of this grant request. I certify that the information contained herein is accurate to the best of my knowledge.
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Authorized Signature (CEO or Board Chair/President) |
Date |
Print name and title |
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... then CLICK HERE for the Project Budget Reporting Form (PDF has fillable fields for typing).
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