GRANT APPLICATION
Submit completed form to
PART I. GENERAL INFORMATION
Legal Name of Organization:
Contact Name for this request:
Mailing Address: City: State: Zip:
Contact E-mail Address: Contact Phone:
Does your organization have a profile in The Giving Partner (www.thegivingpartner.org)? YES/NO
What is the last date your profile was updated?
Is the program/project listed below included in the program section and your needs statement on the profile?
PART II. PROGRAM/PROJECT DETAILS
Amount of funding requested: Total cost of project (if amount is more than requested):
Using no more than 5 sentences, provide a detailed description for what or how the funding will be used: (request should be for one project/program only.)
If funding is for equipment, please supply a copy of quotations obtained (3 quotes recommended):
Number of clients in the general Lakewood Ranch area to be served by this grant:
The gains or outcomes expected for these clients as a result of the grant:
The community need met by this proposal:
What other local agencies or services address the same problem(s) – state how your approach differs from or augments these services:
Specific ways you will know if the gains/outcomes described above will be achieved:
Timetable and/or work plan for the project (please include project/program start and ending dates, if applicable):
BUDGET – attach a line item budget sheet for the project for which you are applying. If your program/project will cost more than you are requesting, indicate how you will fund the balance. Show any in-kind support, other grants applied for, and/or funds already received on your program/project budget:
In an effort to better inform the community about the efforts of the Lakewood Ranch Community Fund, the Fund is asking what action items your organization will commit to in order to publicize this possible grant to your constituents and the broader community. Please list:
If the program/project is ongoing, indicate a plan for continuing to fund the program/project after the initial grant period is over:
If the program/project utilizes volunteers, elaborate on the screening methods used:
Any other information you feel will be helpful for the advisory committee to consider when reviewing your application:
PART III. SIGNATURES REQUIRED FOR ALL GRANT APPLICATION SUBMISSIONS:
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Printed name of Board Chair Printed name of CEO/Exec. Director
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Signature of Board Chair Date Signature of CEO/Exec. Dir. Date
APPLICATION DEADLINE IS: FRIDAY, June 30, 2017 by 5:00pm EST
No extension of this deadline will be considered.
All completed forms must be submitted via email attachment to:
Lakewood Ranch Community Fund
Manatee Community Foundation
2820 Manatee Ave. W., FL 34205
Phone: 941.556-5442
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