Hope for Children Fund 2015 Application

Application Deadline: July 15, 2015

Page 1 of 11

Hope for Children Fund

2015 Grant Application

Guidelines:

The mission of the Hope for Children Fund (HFC) is to provide the children of Delaware County who have been impacted by abuse or neglect with a safe environment advancing emotional and physical health, stability and resiliency.

Though not required that organizations be based or exclusively work in Delaware County, preference will be given to Delaware County based organizations. Target populations for program/projects must be residents of Delaware County.

Funding requests must not exceed $2,500.

Applications deadline: July 15, 2015

Review Period: July 16, 2015 – August 31, 2015

Award Notification: by September 15, 2015

Applicants:

  • Must be charitable, tax exempt organizations with 501(c)3 certification
  • Must support charitable activities in Delaware County
  • If applicant is a religious organization, program must be secular and open to the community (non-religious based programs only)

The HFC Fund will not fund:

  • Individuals
  • For profit organizations
  • Government entities
  • Religious based programs or those promoting religious education
  • Organizations that do not provide services in Delaware County

APPLICATION TABLE OF CONTENTS

Grant Application Cover Sheet3

Agreement5

Impact Statement& Release6

Grant Proposal Narrative Guidelines7

Financial Information

Project Budget Template8

Organizational Budget10

Required Attachments/Final Application Checklist11

102 Chesley Drive, Suite 1A, Media, PA 19063 | 610-892-8620 | |

Hope for Children Fund 2015 Application

Application Deadline: July 15, 2015

Page 1 of 11

Grant Application

COVER SHEET

NAME OF ORGANIZATION:

Legal Name (as designated on 501c3):

(if different than above)

Address:

Phone:Fax:

E-mail:Website:

Executive Director:

Current Board President:

Primary Contact:Title:

(if different than above)

Phone:E-Mail:

(if different than above)

IRS 501(c)(3) Nonprofit?

Yes(Please attach IRS designation letter)

No(Please attach written agreement from the fiscal agent)

Federal ID #:

Type of Grant Requested:

102 Chesley Drive, Suite 1A, Media, PA 19063 | 610-892-8620 | |

Hope for Children Fund 2015 Application

Application Deadline: July 15, 2015

Page 1 of 11

Capital

General Operating Support

Program/Project

Capacity Building

Other:

102 Chesley Drive, Suite 1A, Media, PA 19063 | 610-892-8620 | |

Hope for Children Fund 2015 Application

Application Deadline: July 15, 2015

Page 1 of 11

Name of Program/Project/Campaign:

102 Chesley Drive, Suite 1A, Media, PA 19063 | 610-892-8620 | |

Hope for Children Fund 2015 Application

Application Deadline: July 15, 2015

Page 1 of 11

Amount Requested ($2,500 Maximum):

Total Program/Project Budget:

Duration of grant requested:

Total Organizational Budget:

Fiscal Year End:

State your organization’s mission:

Summarize the proposal and how it fits with the Hope for Children mission:

List the proposal’s target population, constituents, and geographic communities (be specific with the number of Delaware County children impacted by your proposal):

Have you previously applied to the Hope for Children Fund?

Yes

No

Have you previously received funding through the Hope for Children Fund? If yes, how much and when?

List of three largest funders in the last fiscal year and grant amount.

  1. Funder ______Grant Amount ______
  2. Funder ______Grant Amount ______
  3. Funder ______Grant Amount ______

AGREEMENT

I certify, to the best of my knowledge, that all information included in this proposal is correct. The tax-exempt status of this organization is still in effect. If a grant is awarded to this organization, the proceeds of that grant will not be distributed or used to benefit any organization or individual supporting or engaged in unlawful activities.

Signature of Executive DirectorDate

IMPACT STATEMENT

DCCF requires that applicants include an Impact Statement and signed release to publish this statement. The Impact Statement should be a 3 or 4 sentence statement outlining the direct impact the funding received from the Hope for Children Fund will have in Delaware County.

Provided that applicant receives funding, the undersigned, as an authorized representative of ______(organization), hereby grants permission to the Delaware County Community Foundation to publicize the above statement in any and all media, including online, in print, in press releases, and on social media, and at public events.

Signed,

______

Name:

Title:

Organization:

Date:

PROPOSAL NARRATIVE

Proposal Narrative should be three pages maximum, and should provide the information listed below in this order:

Organizational Background and Information

  • Give a brief summary of your organization’s history
  • Describe your current programs, activities, service statistics – highlighting the past year – and cite how your programs fulfill the mission. Identify three of your organization’s greatest successes; what are your greatest challenges?
  • If applying for general operating support, list your organization’s overall goals & objectives

Purpose of Grant

  • For General Operating Support Requests:
  • Describe how the request will enhance organizational capacity, sustainability and/or the achievement of measurable results for the organization
  • Describe how your organization assesses/evaluates its programs and cite examples of how you have applied the learnings from your evaluation.
  • For Specific Project or Program Requests:
  • Identify the issue or need to be addressed, providing evidence of size and/or severity. If applicable, provide demographic and geographic information regarding the community or population benefiting from or served by the request.
  • Explain your goals and objectives for this grant
  • How do you plan to accomplish your goals?
  • How will you measure the impact of the project?
  • Who will be responsible and what is their experience carrying out this project?
  • What is the anticipated timeline for implementing the request?
  • What are the challenges you anticipate during this program/project?
  • What will you do if you receive less or more funding than the desired amount? How will that change the project?
  • How will the results be publicized and communicated?

PROGRAM/PROJECT BUDGET

-Current Request-

NOTE: This format is optional and can serve as a guide to budgeting. If you already prepare project budgets that contain this information, you may submit them in their original forms. Attach a narrative explaining the budget, if necessary.

PROGRAM/PROJECT INCOMEFiscal Year: ______

CONTRIBUTIONS / COMMITTED / PENDING / DECISION
DATE
Government grants / $
Foundations / $
Corporations / $
United Way / $
Individual contributions / $
$
$
$
Other / $
Subtotal Contributions / $
EARNED INCOME
Government contracts / $
Fee for Service / $
$
Fundraising events and products / $
Membership income / $
In-Kind Support / $
Investment income / $
Other (specify) / $
Subtotal Earned Income / $
TOTAL
(Contributed plus Earned) / $

*Note: Pending sources of support include those requests currently under consideration. Please indicate anticipated decision date if known.

IDENTIFY COMMITTED AND PENDING SOURCES FOR THIS PROJECT
SOURCE / AMOUNT
COMMITTED / AMOUNT
PENDING / DECISION
DATE
1.
2.
3.
4.
5.

PROGRAM/PROJECT EXPENSES

Item
(allocate all indirect expenses in your project budget) / Amount / % FT/PT
Salaries and wages (break down by individual position and indicate full or part-time) / $
$
$
$
$
$
SUBTOTAL / $
Insurance, benefits and other related taxes / $
Consultants and professional fees / $
Travel / $
Equipment / $
Supplies / $
Printing and copying / $
Telephone and fax / $
Postage and delivery / $
Rent and utilities / $
In-kind expenses / $
Depreciation / $
Other (specify) / $
$
$

TOTAL EXPENSES

/ $
Surplus/Deficit (Income less Expense) / $

ORGANIZATIONAL BUDGET

This format is optional and can serve as a guide to budgeting. If you already prepare an organization budget that contains this information, you may submit it in its original forms. Attach a narrative explaining the budget, if necessary.

REVENUES FISCAL YEAR: ______Number FTEs ______

Source / Amount

Contributed Support

Government grants / $
Foundations / $
Corporations / $
United Way or other federated campaigns / $
Individual contributions / $
$
Total Contributed Support / $

Earned

Government contracts / $
Earned income / $
Fundraising events and products / $
Membership income / $
In-kind support / $
Investment Income / $
Other (specify) / $
Total Earned / $
TOTAL REVENUES / $

ORGANIZATIONAL EXPENSES FISCAL YEAR: ______

Item / Amount
Salaries, wages and benefits / $
Insurance and/or other taxes / $
Consultants and professional fees / $
Travel / $
Equipment / $
Supplies / $
Printing and copying / $
Telephone and fax / $
Postage and delivery / $
Rent and utilities / $
In-kind expenses / $
Depreciation / $
Other (specify) / $

TOTAL EXPENSES

Difference (Income less Expense)

/ $
$

ATTACHMENTS/FINAL CHECK LIST

Applications will be considered complete when the following have been received:

Grant Application Cover Sheet

Signed Agreement

Impact Statement and Signed Release

Grant Summary Document

A completed Grant Proposal Narrative not exceeding three (3) typed pages (excluding attachments)

Program/Project Budget (if applicable), including an itemized budget forhow this grant will be used. Identify the amounts & sources of revenue; note which sources are committed or pending.

Organizational Budget for the most current fiscal year

Organization’s most recent AUDITED statement, if organizational budget is greater than $100,000.

  • Include Form 990 if organizational budget is between $25,000 and $100,000.
  • Include unaudited form if neither document is available.

One-paragraph descriptions of key staff and their relevant qualifications.

Current List of Board Members and their affiliations.

Letters of Agreement from any collaborating agencies, if applicable.

IRS Determination Letter or written agreement from Fiscal Agent.

Grantee report (if previously funded)

Optional:

Letters of support, recent newspaper/magazine articles. Please use discretion in limiting additional attachments.

102 Chesley Drive, Suite 1A, Media, PA 19063 | 610-892-8620 | |