GRANT APPLICATION COVER SHEET

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.]
Name of Organization: Date:
Telephone: Fax: Email:
Contact Person: Title:
Address:
Fiscal agent (if other than applicant):
Total Project Cost: Amount requested from CCCF:
Project start and end dates:
One sentence description of your project:
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
CHECKLIST:
Discussion with foundation staff prior to completing and submitting application
One original set: signed Grant Application Cover Sheet, Narrative, and Project Budget Reporting Form
Email a copy of the narrative to maureen@c3f.org.
One copy of all attachments
23 copies - collated and stapled - of this Grant Application Cover Sheet, Narrative, and Project Budget Reporting Form if this project benefits young people, or 12 copies - collated and stapled - if the proposal is for any other purpose
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.


Authorized Signature (CEO or Board Chair/President)

Date

Print name and title

... then CLICK HERE for the Project Budget Reporting Form (PDF has fillable fields for typing).