Grant Application Form

of the Kiwanis Club of Columbus on behalf of the Columbus Kiwanis Foundation

The Kiwanis Club of Columbus is pleased to announce its grant making cycle for the 2017-2018 administrative year. Kiwanis’ focus is serving the children of the world and these grants will have a similar focus: serving the children of Franklin County, OH.

A total of $50,000 will be awarded over two grant cycles. Average grant size is $5000. Preference will be given to organizations with projects or programs in one or more of the following categories.

The needs of children ages birth through five years. Any program or project serving this age group may be considered.

The needs of children, youth, or families through programming that:

  • Improves educational outcomes,
  • Improves mental health outcomes,
  • Addresses health disparities,
  • Provides basic needs,
  • Helps bridge families out of poverty or
  • Enhances cultural opportunities in Columbus through the arts.

NEW: In addition, preference will be given to organizations with proposals that include existing or new hands-on service projects in which Kiwanis Club of Columbus members can participate.

Due Dates

Cycle I: / Cycle II:
Applications due by December 15, 2017 / Applications due by May 11, 2018
Board action taken by February 13, 2018 / Board action taken by July 10, 2018
Grantees announced February 16, 2018 / Grantees announced July 13, 2018

Eligibility and Restrictions

In order to be eligible, applicants must:

  • Be a tax-exempt organization.
  • Request funding for programming primarily benefiting children ages birth to 18.
  • Be located inandprimarily serve Franklin County, OH with preference for those organizations serving children living in the city of Columbus, OH.

Kiwanis Club of Columbus will NOT fund:

  • Grants to individuals
  • Grants supporting partisan political agendas
  • Grants to religious organizations for purely religious purposes
  • Lobbying
  • Fundraising events
  • Employee salaries

Applicants are asked to complete the club’s grant application formavailable at our website: or by request of a member of the Kiwanis Club of Columbus. Completed requests are due no later than 5 p.m. on the appropriate due date via email to Kiwanis Club of Columbus Secretary Paul Bohlman at . Paper applications will also be accepted and can be sent to Kiwanis Club of Columbus, P.O. Box 20334, Columbus, OH 43220-0334. Paper applications must be received no later than 5 p.m. on the due date. Please do not send both an electronic and a paper application. Please submit anyquestionsabout your application to Secretary Bohlman prior to the due date.The Kiwanis Club of Columbus reserves the right to solicit applications from any organization it chooses.

Date of Application
ORGANIZATION NAME
Applicant Organization (Full Legal Name)
Tax Exempt ID # (EIN)
Name of Executive Director/CEO
Name of Fiscal Sponsor (if applicable)
CONTACT INFORMATION
Proposal Contact Name
Contact Title
Contact Phone
Contact E-mail
Street Address
City
State
Zip Code
Organization Website
Mailing Address (if different than street address)
ORGANIZATION FINANCIAL INFORMATION
Organization’s Budgeted Expenses for Current Year(give fiscal year end mm/dd/yy) / $
REQUEST DATA
Program/Project Title
Total Budget for this Program/Project / $
Amount of this request / $
Anticipated Project Start and End Date
Total Number of people to be served during grant period
Brief demographic description of population served by this Program/Project
SIGNATURES
Signature of Executive Director/CEO
(Must be an official signature)

Project Narrative

Please provide a brief answer to each of the following. Total application form should not exceed 7 pages excluding Request for Funds form and Board of Trustees list, with 1-inch margins and no less than 10 point type. Please conform to the existing formatting of this document.

Background

1.Brief summary of organization’s history and statement of organization’s mission.

2. Brief description of current programs/projects and activities.

3. How is your organization positioned to address the community need indicated in your application? (For example, how does your organization’s skills, history, program scope, location, or other attributes make it uniquely qualified to provide this service?)

Needs Statement

4. What is the problem, challenge or need that is unaddressed or unmet?

5. Summary description of overall program/project to be funded under this grant including description of beneficiaries and the geographic region served.

6. List at least 3 goals of the program/project.

7. Please identify the desired outcome of each goal. Please state the outcome in measurable terms and indicate how you will measure it. (Can be provided in bullet form.)

8. What other central Ohio organizations address this need and how is your project different from similar existing projects at these organizations?

9. Please provide a detailed timetable for implementation of your program/project.

Sustainability and Impact

10. Please describe what impact this project/program will have on recipients in Franklin County, OH.

11. How will you accomplish the program/project if you do not receive Kiwanis Club of Columbus funding? What will your organization do to sustain the program beyond this year?

Hands-On Service, Marketing and Relationship with Kiwanis

12. Kiwanis would like to receive as much publicity/visibility for this grant as possible. Please describe what publicity or sponsorship benefits the Kiwanis Club of Columbus would receive as a result of this grant.

13. Do you have a relationship with Kiwanis Club of Columbus or a specific Kiwanis member? If so, what is the relationship or with whom?

14. Does your program/project include an opportunity for hands-on service by members of the Kiwanis Club of Columbus? If so, please describe.

Complete Applications include:

  1. Completed Kiwanis Club of Columbus Application Form (signed by the CEO) including the completed budget attached to this form. Only applications that adhere to the official format will be considered.
  2. Please attach a complete list of your trustees with title and contact information. This list does not count in your 7-page limit.

Please email the completed application form to or mail to P.O. Box 20334, Columbus, OH 43220-0334. Forms must be received no later than 5 p.m. on the due date, whether emailed or mailed.

Please complete the following project budget information.

Items in italics are directions and should be replaced with your information.

PROJECT INCOME / Anticipated / Committed / Total
Contributed Income
Local Govt.
State Govt.
Fed. Govt.
Specific Foundations: (list)
Corporations
Board/Individual contributions
Other
Earned Income
Client Fees
Membership Dues
Contract services
Publications and Products
Ticket Sales
Organization Income
Other
Total project income / (Total anticipated) / (Total committed) / (Grand Total)
PROJECT EXPENSES
Kiwanis Request / Other Funding / Total
Personnel Expenses
Salaries and Wages
Fringe Benefits
Non-Personnel Expenses
Contract services/professional fees
Office space
Equipment
Staff/Board Development
Travel/Related Expenses
Indirect Costs
Other (Please explain)
Total project expenses / (Total expenses being requested of Kiwanis) / (Total expenses covered by other sources) / (Grand Total)
Excess (Deficiency) / Should be 0

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