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Sample Grant for Youth Funding

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Sample Grant for Youth Funding Powered By Docstoc
					                        Sample – Formal Funding Grant Application
This is an example of the application questions with which you will be presented. It is recommended that
you compose the answers to the paragraph questions in a word processing program and then cut and paste
that text into the online application.

                                           Organization

*Organization/School Legal Name                      Instructions:
                                                      Please enter the Legal Name of your school or
(Text; 100 character maximum)
                                                     organization.


*Address                                             Instructions:
                                                      Please enter the Address for the Main office of this
(Text; 100 character maximum)
                                                     Organization.

*City                                                Instructions:
(Text; 50 character maximum)                         

*State                                               Instructions:
(Single-Select List)
                                                     


*Zip                                                 Instructions:
(Text; 20 character maximum)                         

*County                                              Instructions:
(Single-Select List)                                  Please select the county where your organization
                                                     is headquartered.


*Telephone                                           Instructions:
                                                      Enter the phone number for the Main Office of this
(Text; 30 character maximum)
                                                     organization.


*E-mail Address                                      Instructions:
                                                      Enter the e-mail address of the President/Exec.
(Text; 100 character maximum)
                                                     Director/Principal.

Fax                                                  Instructions:
(Text; 30 character maximum)                         

*Type of Agency
(Single-Select List)
 Church
                                                     Instructions:
 Other
                                                      Please select one from the list provided.
 School
 Traditional Charity
 Unit of Government

*Name of Executive                                   Instructions:
Director/President/Principal                          Please enter the name of the Executive
(Text; 255 character maximum)                        Director/President of this Organization.

*Have you ever received funding
from a Tracy Family Foundation                       Instructions:
grant?                                               
(Yes/No)

Purpose of previous Tracy Family                     Instructions:
Foundation grant                                      Briefly describe the purpose of your most recent
(Paragraph; 2000 character maximum)                  Tracy Family Foundation grant.

Amount of Previous Grants                            Instructions:
(Paragraph; 2000 character maximum)           Please note grants received from Tracy Family
                                             Foundation within the past 3 years.


*Organization Mission Statement              Instructions:
                                              Type in your Mission Statement. If you do not
(Paragraph; 1000 character maximum)
                                             have one, please state this.

*Year Founded (YYYY)                         Instructions:
(Number; 15 digit maximum)                    Year your organization was established

*Purpose of Organization                     Instructions:
(Long Paragraph)                              Describe the purpose of your organization.


*Programs Offered                            Instructions:
                                              Give a brief description of the various programs
(Paragraph; 2000 character maximum)
                                             within your organization.

*Target Population Served by
Organization
(Single-Select List)                         Instructions:
 Adults (18 and above)                       Please choose the population that best describes
 Families                                   the target population of your entire agency.
 Youth (Ages Birth - 18)
 Youth and Adult


*Organization Locations                      Instructions:
                                              If your organization has other locations, please
(Paragraph; 2000 character maximum)
                                             list here.

                                        Contact

    1. If this is your first time applying online, please fill out all the fields below.
    2. If you are returning to the site, verify contact information by either clicking on
       "Contact Name" to edit, or if there are no changes, checking the box next to
       "Match" to select.
    3. If contact information is not listed, click on "Create New" and fill in the
       appropriate Contact information.


*Contact First Name                          Instructions:
(Text; 40 character maximum)                  This should be the organization's contact name.

*Contact Last Name                           Instructions:
(Text; 40 character maximum)                  This should be the organization's contact name.

*Contact Title                               Instructions:
(Text; 50 character maximum)                 


*Contact Address                             Instructions:
                                              Please enter your address (may be different from
(Text; 100 character maximum)
                                             your organization's primary location).

*Contact City                                Instructions:
(Text; 50 character maximum)                 

*Contact State                               Instructions:
(Single-Select List)                         

*Contact Zip                                 Instructions:
(Text; 20 character maximum)                 

*Contact Telephone                           Instructions:
(Text; 30 character maximum)                 

*Contact E-mail Address                      Instructions:
(Text; 100 character maximum)                 Please use your own e-mail address.

                                       Request

You will be asked to Upload Files for some of the Fields (questions). Instructions to
Upload a File are: Click on the link that says "Upload File". Once dialogue box opens,
click on Browse. Once the new dialogue box opens, find the document in your files
that you would like to upload and double click on it. Click "Upload", it will then tell
you that it has been uploaded. Click Done.

                                             Instructions:
*Project Title                                Please give a name to the grant you are
(Text; 255 character maximum)                registering. Use 'General Operating Support' if a
                                             project does not apply.

*Request Amount                              Instructions:
(Currency; 20 character maximum)              Please enter the dollar total of your request.

                                             Instructions:
                                              Funds are being requested description:
                                                         Capital Improvement:
*Funds are being requested for:
(Single-Select List)
                                                          Expenditures that become assets
 Annual Campaign                                         for long-term betterment of
 Capital Campaign                                        organization
 Capital Improvements
 Debt Reduction                                         Operational Support: Day-to-day
 Operational Support                                     ongoing expenses, such as
 Program Support                                         salaries, supplies, etc.
 Professional Development
 Other
                                                         Program/Curriculum: Grant that is
 Underwriting of a Fundraiser                            specific to curriculum development
                                                         Professional Development: Training
                                                          for staff

*Executive Director/Pres./Principal          Instructions:
Authorization                                 Has your Exec.Director/President/Principal
(Yes/No)                                     authorized this request?

*Project Start Date                          Instructions:
(Date)                                        Please enter the date your project will begin.


*Project End Date                            Instructions:
                                              Please enter the date when your project will be
(Date)
                                             completed.

                                             Instructions:
*Request Summary                              Please summarize your request. The first sentence
(Paragraph; 2000 character maximum)          should read “We are requesting $_______for
                                             ___________.”

*Importance of Proposed Project              Instructions:
(Paragraph; 2000 character maximum)           Outline evidence for the need of this project.

*Target Population Served by
Request                                      Instructions:
(Single-Select List)                         
 Youth (Birth - 18)
 Adults (18 and above)
 Families
 Agency
 Youth and Adults

*Projected Number of Individuals                     Instructions:
Served                                                Please indicate # of individuals directly served
(Number; 15 digit maximum)                           from grant.

*Request will Directly Impact
(Single-Select List)
 Capacity Building of Nonprofit Agencies
                                                     Instructions:
 Community Center for Families
                                                      Grant request will directly impact which of the
 Pre K - Grade 12 Catholic School education
                                                     following. Please select what best describes the area
 Pre-School – Grade 12 Academics
                                                     of impact if your grant request was funded. .
 Unmet Needs of At-Risk Families
 Youth Development – Leadership, Character, or
Spiritual

*Target Focus of Grant:
(Single-Select List)
 Community Betterment
                                                     Instructions:
                                                      Please select what best describes the Target
 Education
                                                     Focus of your grant request. According to what you
 Health & Wellness
                                                     select, you will answer one of the next three
 Individuals/Families
                                                     questions.
 Other
 Youth

Focus of Education Grant Request
(Single-Select List)
 Pre-School - Academic                              Instructions:
 Traditional Academic K-12                           If you selected Education as your Target Focus
 After-School - Academic                            above, please select what best describes your target
 Public Library                                     area of focus within education.
 Capacity Building/Profession Development for Org
 Other

Focus of Individuals/Families Grant
Request:
(Single-Select List)
 Counseling                                         Instructions:
 Food                                                If you selected Individuals/Families as your Target
 Parenting                                          Focus above, please select what best describes your
 Church Related                                     target area of focus.
 Shelter
 Unmet Needs
 Other

Focus of Youth Grant Request
(Single-Select List)
 After-School - Non-Academic
                                                     Instructions:
 Camps
                                                      If you selected Youth as your Target Focus above,
 Daycare
                                                     please select what best describes your target area of
 Scouting
                                                     focus.
 Service Programs
 Summer Activities
 Other

                                                     Instructions:
*Project Goals, Projected                             A goal is a broad-based statement of the ultimate
(Paragraph; 2000 character maximum)                  result. If you wish, you may break this down into
                                                     Short Term and Long Term Goals.

*Project Strategies                                  Instructions:
(Paragraph; 2000 character maximum)                   A strategy is a detailed description of the activities
                                                      that will take place in order to achieve the
                                                      objectives.

                                                      Instructions:
                                                       Please outline timelines as they relate to Project
                                                      Strategies. Please click here for the TIMELINE
*Timeline Template
                                                      TEMPLATE. Open the template, type in your info and
(File Upload; 1,048,576 byte limit)
                                                      save in your computer files. Then click "Upload File"
                                                      and select document. You can only upload files that
                                                      are done in Microsoft Word, Excel and PowerPoint.


*Projection of Outcomes                               Instructions:
                                                       Describe measurable Outcomes that you hope to
(Paragraph; 2000 character maximum)
                                                      achieve.

*Do you have an Evaluation planned?                   Instructions:
(Yes/No)                                               Please select Yes or No.


*Evaluation Description                               Instructions:
                                                       If yes, describe the process for evaluating your
(Paragraph; 2000 character maximum)
                                                      Outcomes. If no, please enter N/A into this field.

                                                      Instructions:
*Description of Success                                What is going to happen to tell you whether or not
(Paragraph; 2000 character maximum)                   your project/program was a success? If possible,
                                                      please list 3 Indicators that you will measure.

                                                      Instructions:
                                                       Please click here for the BUDGET TEMPLATE. Open
                                                      the template, type in your info and save in your
*Project Budget Template                              computer files. Then click "Upload File" and select
(File Upload; 1,572,864 byte limit)                   document. (See Instructions in beginning of this
                                                      section regarding Uploading Files). You can only
                                                      upload files that are done in Microsoft Word, Excel
                                                      and PowerPoint.

                                                      Instructions:
*Future Funding Plan                                   Please indicate if project will require future
(Paragraph; 2000 character maximum)                   funding. If it does, please outline future funding
                                                      plan.

Referred to Tracy Foundation by:                      Instructions:
(Text; 255 character maximum)                         

                                            Current Year

         Please fill out the following section of this proposal with the most current information
         available for your organization.

         To Upload Documents: Click on the link that says "Upload File". Once dialogue box
         opens, click on Browse. Once the new dialogue box opens, find the document in your
         files that you would like to upload and double click on it. Click "Upload", it will then tell
         you that it has been uploaded. Click Done.


*Fiscal Year Start Date                               Instructions:
(Date)                                                 Please indicate the Start Date of your Fiscal Year.

*Fiscal Year End Date                                 Instructions:
(Date)                                                 Please indicate the End Date of your Fiscal Year.

Organization Budget for Current Year                  Instructions:
(File Upload; 1,572,864 byte limit)                           Please click here for the BUDGET
                                              TEMPLATE. Open the template, type in
                                              your info and save in your computer
                                              files. Then click "Upload File" and select
                                              document. (See Instructions in
                                              beginning of this section regarding
                                              Uploading Files).

                                              You can only upload files that are done
                                              in Microsoft Word, Excel and
                                              PowerPoint.

                                              Please upload your Organization
                                              Budget. You may use either the
                                              template provided or submit the
                                              Organizational Budget you already have
                                              saved in your computer.

                                              If you are a teacher requesting funding
                                              for a class project, do not submit entire
                                              school budget. Please submit a
                                              statement from the Principal outlining
                                              the financial support a classroom gets
                                              from the school.

                                              If you are a youth organization within a
                                              church, do not submit entire church
                                              budget. Please submit a statement from
                                              the pastor indicating the financial
                                              support the church gives to your group.


                                       Instructions:
                                               For organizations that have an Audit
                                              for the most recent Fiscal Year, please
                                              submit this.

                                              For organizations that do not have an
                                              Audit from the most recent Fiscal Year,
*Financial Statements for Most                please submit you IRS Form 990.
Recently Completed Fiscal Year -              For those organizations that do not
Audited or Not Audited                        have an Audit or a 990, please submit
(File Upload; 10,485,760 byte limit)
                                              the following:

                                                   Statement of Financial Condition
                                                    (Balance Sheet)
                                                   Statement of Activities (Income
                                                    Statement)
                                                   Statement of Cash Flow

                                       Instructions:
*Key Staff Member Information           List key staff members relevant to this request.
(Paragraph; 2000 character maximum)    Include their qualifications and length of time at this
                                       agency.


*Organizational or Personnel           Instructions:
                                        Please list significant organizational or personnel
Changes                               changes that have occurred over the last year.
(Paragraph; 2000 character maximum)

                                      Instructions:
                                       Please upload a file containing the most recent list
                                      of Board Members for your organization. INCLUDE
                                      PHONE NUMBERS. If you do not already have this
                                      information in your computer, please type it up,
Board Member Information              save and upload or fax to Kim at 217-773-4205.
(File Upload; 1,048,576 byte limit)   Please send this fax separately from any other fax
                                      you may send. Once you fax your information in, it
                                      will be sent back to you via email in a computerized
                                      format that you will be able to upload. You can only
                                      upload files that are done in Microsoft Word, Excel
                                      and PowerPoint.

                                      Instructions:
                                       Please click here to review our Letter of
                                      Agreement. If you accept these terms, select I
*Letter of Agreement - Review and     ACCEPT. Please note: Your organization may be
                                      subject to additional terms of agreement and these
Accept Terms                          terms, if necessary, would come to you via email.
(Checkbox List)                       Accepting this letter does not mean that you
 I ACCEPT                            have been approved for a grant, however you
                                      must accept in order to proceed. You will be
                                      notified via email whether or not your grant
                                      request has been approved.

*Name of Individual Agreeing to       Instructions:
Terms                                  Please type your name here to acknowledge you
(Text; 255 character maximum)         have read the Letter of Agreement.

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Description: Sample Grant for Youth Funding document sample