Grant Application

Please provide a brief summary of the program (not to exceed three pages), including the population to be served (age, sex, ethnicity, income level, geographic region, etc.), the purpose of the grant, project objectives, term, a definition of desired outcomes and how they will be measured, funding sources after the grant period, and any other pertinent information. The items listed below must also be attached to the application form:

  • Cover Letter on Letterhead Signed by Board Chair
  • Agency Background Information
  • Mission Statement
  • List of Board of Directors
  • Board Meeting Schedule
  • IRS Determination Letter
  • Proposed Program Budget
  • Agency Budget
  • Organizational Chart
  • Audited Financial Statement (Form 990 may be substituted)
  • Qualification of Key Project Personnel
Allowed File types: .xlsx .doc .docx .jpg .png .pdf .txt

List additional funding sources for this program with amounts and an special terms