Stylin’ Against Breast Cancer
Funding Guidelines
Applicant Criteria:
* The applicant must be a tax exempt organization with current 501(c)3 status
* The applicant must be located within a 30 mile radius of the Quad Cities
* The applicant may be a member of the Stylin’ Planning Committee but will be excluded from any
participation on the committee until after the grants decisions have been made.
* Grants may not be allocated to foundations – local, regional or national
* Grants may not be allocated to individuals
Grant Purpose and Criteria:
Grants may be allocated for one or all of the following (not in order of priority):
* Direct service/support or patient care to breast cancer survivors
* Community and/or survivor education about breast cancer
* Equipment/prosthetics to serve or support breast cancer patients
* Services to support and/or educate loved ones of breast cancer patients
Services/education/equipment for populations in which the mortality rate for breast cancer is greater than the
broader community will be viewed more favorably.
Programs targeted to an under-served population will be viewed more favorably.
The need for and quality of the program/service/equipment must be clearly documented.
Funder/Recipient Agreement/Accountability:
The funded agency or agencies will enter into an agreement with Trinity Health Foundation (the fiscal agent) that stipulates the:
* form and type of public recognition of “Stylin’s” support/grant
* agreement to provide a written report on progress and outcomes upon completion of the project
* agreement to provide the service as outlined in the approved grant application
Grant Decisions:
Grant applications should be postmarked by Wednesday, September 18, 2013.
Applications will be reviewed and all applicants will be notified by Friday, October 18, 2013.
Funds will be award by Friday, November 8, 2013.
Stylin’ Against Breast Cancer 2013 Grant Application
Organization Name ______Date ______
Address ______Phone ______
City, State, Zip ______Tax Exempt? ______
Federal Identification Number ______
Is this organization physically located in the Quad Cities or within a 30 mile radius of the Quad Cities? ______
Name of the program for which funds are being requested _______
Amount Requested ______
Person whom all correspondence regarding this application should be directed:
Name ______Phone ______
Email ______
Signature ______Title: ______
This completed application and required attachments must be received or postmarked NO LATER THAN WEDNESDAY, SEPTEMBER 18, 2013.
Please submit to:
Marika Jones, President
Trinity Health Foundation
2121 1st St A
Moline, IL 61265
Grants will be reviewed and all applicants will be notified by October 18, 2013. Funds will be awarded by November 8, 2013.
Regarding the program for which funds are being requested:
Please cite the Mission of the Applicant Organization and note how long the organization has been in operation:
Please provide the need that this program will or already addresses (be specific):
Please provide a brief description of the program and its objectives:
Please state the number of people and the target population served by this program:
If awarded, how will the grant funds be used?
Recognition:
If this grant request is approved, please describe how your organization will acknowledge Stylin’ Against Breast Cancer and the Trinity Health Foundation:
Budget:
Please attach a program budget, or capital budget, if the request is for equipment.
Please cite the percentage of the program’s total expense that this grant will cover: ______
Please list the other sources of funds that your organization has pursued to support this program and note the outcomes of those requests:
SourceAmount of RequestResult
Other:
If there is other information that you believe is pertinent to this request and which has not been supplied elsewhere in the application, please cite it here:
Please attach a list of your current board of directors and a copy of the IRS letter
validating your organization’s tax exempt status.