COMMUNITY SERVICE STUDENT ENDOWMENT FUND
2016 Grant Application


COMMUNITY SERVICE STUDENT ENDOWMENT FUND

Grant Application

2016 Theme: “Breaking the Cycle”

The 2013 mean composite ACT score for the Memphis City School District was 16.2*, where scores can range from 12 to 36. While seventy percent of high school students in Memphis may graduate high school, many students do not have the access to resources necessary to foster their passion for education. Out of gratitude for the education we have received at Hutchison, we are seeking applicants whose programs fall under the following categories:  empowering students through extracurricular activities, tutoring, and mentorship in order to foster the desire to continue their education. In order to break the perpetuating cycle of inadequate education, this grant will provide a better avenue of success for the children of our city.

Application Submission Instructions & Deadlines

All application materials are due at noon on February 29, 2016. Please send the completed application and required supporting documents to either location listed at the bottom of this application. The committee will award one or more grants, together totaling a maximum of $5,000 awarded.

Please send the completed application and required supporting documents to either of the listed locations:

  1. Please send a hard copy of the completed application and required supporting documents to:
    Hutchison School
    Attn: Ashley Woodruff, Hutchison Leads & Serves Associate
    1740 Ridgeway Road
    Memphis, TN 38119-5397
  2. Please email the completed application and supporting documents to:

Supporting Documents

Please attach the following with your completed application:

  • Project Budget
  • Supporting Financial Forms (Most recent 990 and IRS Exemption Certificate Letter)
  • List of Board Members (if applicable)
  • Key Staff List involved in the project (with email and phone contact information)

PROJECT DESCRIPTION

Project Title:______
Dates of the Project: (Month/Year) (___ / ___) to (____/____) Amount Requested: $______
Project Budget (Please attach detailed information on budget form): $______
Geographic Area to be Served:______
Target Population Served:______
Brief Project Description (100 Words): ______
______

COMMUNITY SERVICE STUDENT ENDOWMENT FUND
2016 Grant Application

APPLICANT ORGANIZATION

COMMUNITY SERVICE STUDENT ENDOWMENT FUND
2016 Grant Application

Organization

Name: ______
Mailing Address: ______
______
City, State: ______
Zip Code: ______Telephone: ______
Fax: ______
Website: ______

Executive Director or President

Name: ______
Title: ______
Telephone: ______
Email: ______

Person Responsible for Project

Name: ______
Title: ______
Telephone: ______
Email: ______

COMMUNITY SERVICE STUDENT ENDOWMENT FUND
2016 Grant Application

FINANCIAL INFORMATION

COMMUNITY SERVICE STUDENT ENDOWMENT FUND
2016 Grant Application

Is your organization a 501(C) 3 nonprofit? YES NO

Fiscal Year: ______
Tax ID#: ______
IRS Exemption Certificate: ______

(Please attach a copy of the certification letter)

Date of Last 990 Filed: ______

(Please attach a copy of your most recent 990)

Date of Last Annual Report Filed: ______
Date of Last Audited Financial Statement: ______Auditing Firm: ______
Number of Persons Served Annually: ______
Total Campaign Goal: ______
Total Agency Budget: ______Year Organization Was Founded: ______

COMMUNITY SERVICE STUDENT ENDOWMENT FUND
2016 Grant Application

NARRATIVE QUESTIONS

Please respond to these questions on a word document that can be sent by email with your complete application.

  1. Briefly describe your organization and your mission. Address how your organization uniquely impacts the Memphis community. (200 words)
  2. Please share one or two personal stories about individuals who have been significantly impacted by your program. (400 words)
  3. Please expand upon your project description from page one of the grant application. Be sure to explain in detail how this project supports the theme and mission of “Breaking the Cycle”. (500 words)
  4. Explain your short and long term goals for this project. Using these goals as a guide, provide a 12 month timeline of your project with specific dates, event descriptions, and expected outcome. (300 words)
  5. Give specific examples as to how the funds will support this project. Please list any additional funding sources and amounts for funding that exist for this project or program, if applicable. (200 words)
  6. Explain how your project will be successful. What evaluative measures will you put in place? What specifically will you do ensure your project’s sustainability beyond the implementation stage? Please be as specific as possible. (300 words)