Youth Advisory Committee

Grant Application

DEADLINE: Youth Advisory Committee applications are accepted three times a year. Complete applications and materials are due no later than 4:00 p.m. on the due date. See for current due dates. at the office of the Albion Community Foundation, 203 S. Superior Street, Albion, Michigan 49224. This is NOT a postmark deadline.

The Albion Community Foundation’s Youth Advisory Committee announces the availability of grant funds to support projects that promote positive youth development in the greater Albion area.

NOTE: Suggested grant request is in the $250 to $2,000 range.

SELECTION CRITERIA

Any non-profit organization with 501(c)(3) status located in the greater Albion area, or directly serving children in the greater Albion area, that is in need of funding for programs that are beneficial to youth.

In evaluating each application, funding decisions will be made based on the following criteria. Priority consideration will be given to programs that:

  • Involve youth in the development and implementation of the project
  • Are inclusive (include a broad and diverse population within the project itself
  • Are widely accessible

RESTRICTIONS

Limitations include: Grant funds cannot support the following:

•activities conducted outside the greater Albion area, unless serving youth from the greater Albion area

•school teacher salaries, in-service, release time or school administrative costs

•existing deficits, licensing fees, fines, penalties, interest or litigation

•fundraising or allocations to endowment or other restricted funds

•funds which the applicant would regrant to other organizations

•cash prizes, contributions, donations

•religious activities, including bible study, vacation bible camps, etc.

HOW TO APPLY

Please submit 1 copy and an original of the Albion Community Foundation Youth AdvisoryCommittee Application for Grant along with the required attachments. A copy must also be emailed to

Applications will NOT be considered by the Committee if this requirement is not met.

REVIEW PROCESS

Each application will be reviewed by the Youth Advisory Committee. Youth Advisory Committee recommendations for funding will be brought to the Foundation’s Board of Trustees within 60 days of the grant deadline for approval. All applicants will be notified by mail of the Youth Advisory Committee’s decisions.

II.REQUIRED ATTACHMENTS – Please Provide One Copy of the Following

  1. Complete Project Budget Form (use attached Project Budget Form)
  2. List of organization’s governing body andofficers
  3. A copy of the organization’s current operating budget. (For public entities, please include only the department, school budget that you are applying for.)
  4. A copy of IRS tax exemption letter, if applicable
  5. Page one of 990 or ACF Financial Summary Sheet if you do not submit a 990 (not required for public entities) (The financial summary sheet may be found in the documents section of our website)

Albion Community Foundation

Grant Application Form – Cover

Applicant Organization's Name: / Project Director:
Mailing Address: / City: / Zip Code:
Organization Phone:
() - - / Organization Fax:
() - - / Contact Phone:
() - - / Contact Fax:
() - -
Organization Website (URL): / Contact Email Address:
Project Name: / Project Start Date:
/ Project End Date:
Est. Number of Direct Beneficiaries / Est. Number of Indirect Beneficiaries / Total # Benefiting:
Target Population Age Code:
Please ChooseallSchool Age k-12Senior 65+Children 0-18 infant 0-4adult 22-64young adult 19-21 Teen 13 -18Young Child 0-8Unknown / Target Population Gender Code:
Please ChooseBothFemaleMale / Target Population Economic Code:
Please ChooseAllBelow Federal PovertyHigh Net WorthLow IncomeUnknownMiddle Income
Select the code the fits the majority of the direct beneficiaries, if no majority choose all
Grant Request Program Code:
Please Choose1 - Historical2 - LiteracyA - Arts and CultureB - EducationalC - Animal RelatedD - EnvironmentalE - HealthI - Public ProtectionJ - Employment and JobsK - Food and NutritionL - Housing, ShelterM - Public SafetyN - RecreationO - youth developmentP - Human ServiceRF- RiverfrontS - Community ImprovementT - PhilanthropyU - Science and TechW - Public/Society / Grant Request Secondary Program Code:
Please Choose1 - Historical2 - LiteracyA - Arts and CultureB - EducationalC - Animal RelatedD - EnvironmentalE - HealthI - Public ProtectionJ - Employment and JobsK - Food and NutritionL - Housing, ShelterM - Public SafetyN - RecreationO - youth developmentP - Human ServiceRF- RiverfrontS - Community ImprovementT - PhilanthropyU - Science and TechW - Public/Society / General Population Code:
Please ChooseFoster CareCrime VictimsImmigrantsMigrant WorkersHomelessMultipleOther
Select Other if you are not targeting one of the listed populations
Total Project Cost: / ACF Requested Amount: / Grant Request Type Code:
Please ChooseCapital CampaignBuilding/RenovationEquipmentComputer SystemsProgram DevelopmentPerformance/Production

Signature of ApplicantTitle

Date

Authorizing Official SignatureTitle
(ie. Executive Director, Board Chair, City Manager, Superintendent)
I. NARRATIVE (All shaded areas reflect fill in fields and will adjust to the length of your response, you may tab between fields. Be sure to delete the examples. )

A.Summary

Insert the name of the group or organization applying for the grantlocated in City, State is requesting $enter amount of requestfrom the Albion Community Foundation to supportenter program or project name. The purpose ofproject or program nameis to address the need forwhat need will the program address, in one sentence. Project activities will take place from start dateto end date.

This Project/program will serve how many will receive direct servicesenter the type of audience receiving direct services, i.e. youth, adults, people, etc.from enter where is your audience from i.e. the greater Albion area, Albion Public School District, the city of Albion, etc... The main goal/goals of the Project/program is/are to list goal or goals. In order to accomplish this goal or these goals we will conduct the following activities: (provide a list of main activities, not necessarily all activities, that demonstrate how you will achieve your goal).Project activities will take place at enter location (name and address)a fully or partially accessible facility.

B.Project Information

  1. Please state what you are asking the Youth Advisory Committee to fund.

Name of Group/Organizationis asking the Youth Advisory Committee to fund please describe the specific portions of the project that you will use YAC fund to support, if the request is for the entire project, you will still need to describe each major expense. Click here to enter text.

  1. Describe the target population and explain your method for reaching that population.

Our target population is enter the type of audience receiving direct services, i.e. youth, adults, people fromenter where is your audience from i.e. the greater Albion area, Albion Public School District, the city of Albion, etc...

We will reach this population by how will you reach them, please list the methods that you will use ie through flyers, newsletters, direct mailings, teacher recommendations, parents, etc..

  1. What will be accomplished? (please list up to 5 objectives)

In order to accomplish our goal/goals of - enter goals from summarywe will implement the following strategies (or objectives).

Strategy One: An objective or strategy is a sub-goal. It identifies a short-term, measurable step within a designated period of time that is moving toward achieving a long-term goal. i.e. To align our program with the Michigan Curricula Framework.

Strategy:

Strategy:

Strategy:

Strategy:

  1. How will this benefit youth in the greater Albion area?

Through this program we will meet the following need describe the need or challenges that this project will be addressing.

This need was identified Tell us how you identified the need, include multiple ways if possible ie. in the blue print for positive youth development, by the Michigan department of education, through surveys conducted by our organization, etc.

By addressing this need, youth in the greater Albion area will benefit in the following ways:

Describe the benefits, such as increased access to something, higher test score, talk about things like the 40 developmental assets.

  1. How will youth be involved in the development and implementation of the project?

Youth will or will not be involved in the development and implementation of thisproject or program.

Tell us how they will be involved or why not, ie why wouldn't they be involved i.e. our target population is infants, this project is to develop kits that help us meet the Michigan Curricula Framework, etc.

  1. What will happen and when? (please limit your response to 10 activities)

The following activities will help us meet our objective:

Activity 1: what is your first activity or set of activities, be sure to include quantities, ie 10 music classes will take place When will they happen ie. from 4 - 6 pm during the months of September and October. . This activity will directly serve how many and who will each activity serve, ie 10 second graders..

Activity:

Activity:

Activity:

Activity:

Activity:

Activity:

Activity:

Activity:

Activity:

  1. How do you plan to publicize/promote your project?(please check all that apply)

e-news organization newsletter flyers

website press releases brochures

announcements to different groups

Other (please explain)

  1. How will you evaluate the proposed outcomes of your project?(please check only those that you will be implementing as samples of methods used will be required as part of your final report)

participant surveys parent surveys teacher surveys

focus groups observation attendancecounts

increase in test scores/grades

Other (please explain)

  1. How will the project be sustained after the grant period?(please delete unused statements)

We plan on sustaining this project by tell us how you plan on offering the program in the future, i.e. including the cost as part of our future annual operating budget, by increasing fees, etc.

OR Due to the population being served we are unable to charge a fee for services, and cannot absorb all of the program costs in our operating budget. Therefore, we will seek grants and sponsorships to continue the program

OR This is a one-time project that will not require future funding.

  1. What will you do if you do not receive full funding?

If we do not receive full funding Tell us how the program will run, ie. we will not be able to run the program, we will delay the start of the program until additional funds can be secured through sponsorships, we will decrease the number of youth served, the program will only meet once,

  1. If the total project budget is greater than the amount requested, from what sources will the other necessary funds be obtained, and what funds have been raised to date?

List ways to obtain funding i.e. we will hold a fundraiser (specify what kind), charge fees, seek grants, the organization has committed to the additional costs, etc.

As of the date of this application we have secured how much money - if none enter no additional funds for this program.
Itemized Project Budget Form: Please explain as much as possible what items are included in each expense category.

Revenue: / Pending / Committed
Grants/Contracts/Contributions
Local Government
State Government
Federal Government
Other Foundations
Corporations
Individuals
Earned Income
Events
Tickets, other
Membership Income
ACF Grant Request
In-Kind Support
Other (specify)
Sub-Total Cash and In-Kind Revenue
Total Revenue (Total Cash + Total In-Kind)
Expenses: / Amount Requested From ACF / Total Project Expenses (Request plus cost share)
Salaries (itemize, i.e. Program Director (25 hrs x $20/hr)
Salaries (itemize, i.e. Program Director (25 hrs x $20/hr)
Salaries (itemize, i.e. Program Director (25 hrs x $20/hr)
Salaries ((itemize, i.e. Program Director (25 hrs x $20/hr)
Salaries ((itemize, i.e. Program Director (25 hrs x $20/hr)
Payroll Taxes what % x total salary cost
Fringe Benefitswhat % x total salary cost
Consultants and Professional Fees x $ per day, etc.
Insurance(itemize ie days x cost)
Travel
Equipment(quantity x unit cost)
Supplies (quantity x unit cost)
Printing and Copying(quantity x unit cost)
Telephone and Fax(quantity x unit cost)
Postage and Delivery(quantity x unit cost)
Rentx $ per day, etc.
Utilitiesx $ per day, etc.
Maintenancex $ per day, etc.
Evaluationx $ per day, etc.
Marketing/Advertising/Publicity(quantity x unit cost)
Other (specify)
In-Kind
Total Cash and In-Kind Expense
(Total Cost Share + Total In-Kind + ACF Grant Request)
Total Expenses