Fort Dodge Community Foundation

Investing in our community, today, tomorrow … forever

The Fort Dodge Community Foundation is an independent 501(c) (3) public charity that enables people with philanthropic interests to develop lasting legacies through funds that support causes, programs and organizations in their community that they care about, easily and effectively. Serving Fort Dodge, Webster County and Northwest-Central Iowa, the Fort Dodge Community Foundation makes grants from these funds to a wide-range of charitable causes and non-profit organizations to address a wide-range of current and future community needs.

As an advocate and catalyst for charitable giving, the Fort Dodge Community Foundation develops charitable resources to support important community programs, services, projects and nonprofit organizations to advance the public good, foster economic prosperity and improve the quality of life of all citizens, families and youth.

The Fort Dodge Community Foundation serves as an asset development organization that provides positive and proactive leadership and significant resources to help the Fort Dodge community and region become a place where people will want to live, work, recreate, and raise their families.

Fort Dodge Community Foundation and United Way

24 North 9th Street, Suite B

Fort Dodge, IA 50501

515-573-3179

Randy Kuhlman, C.E.O

Fort Dodge Community Foundation

24 North 9th Street Suite B

Fort Dodge, Iowa 50501

2018Application for a Community Development Discretionary Grant

Your application must be typed and submitted electronically to the

Fort Dodge Community Foundation and United Way.

Date:

Organization/Agency Requesting Funding:

Address: City: State: Zip:

Is Your Organization non-profit? Yes No Fed. Tax ID#:

Is your Organization a 501(C)3 non-profit? Yes No

Director or CEO of your organization:

Contact Person & Title:

Telephone: Email:

Number of employees in your organization:

Number of volunteers involved with your organization:

Do you have a Board of Directors that meets on a regular basis? Yes No

Please list your Board chairperson and all members of your Board of Directors:

Project Name:

Amount Requested:

Total Project Budget:

Amount of Project Budget Secured:

Timeframe of Project Implementation :

(Please use the space in this application form to answer the questions below. If additional space is needed, please attach additional sheets to this application form.)

  1. Organization
  2. Briefly describe the purpose or mission of your organization:
  1. Project
  2. Briefly describe the project and community need/problem being addressed.
  1. Describe how the funds you are requesting will be used:
  1. Please state your expected outcomes and how you will know if your project has been successful:
  1. Targeted Population – State the number of adults and/or youth that you project will be impacted by your project:
  1. Financial Information.
  2. Other Funding Plans & Requests. Please list all other funding sources supporting this project, the amount you are requesting from these sources and if funding has been approved or secured. Please include general fundraising activity and in-kind services that are supporting this project:
  1. Please show or attach the budget for this project:

Signature: ______

Date: ______

Fort Dodge Community Foundation

Randy Kuhlman, CEO

24 North 9th Street Suite B

Fort Dodge, IA 50501

515-573-3179

Email: