Respect Life Fund Grant 2015

Respect Life Fund Grant 2015

Familyand Respect LifeOffice

ArchdioceseofCincinnati

100EastEighthStreet

Cincinnati,Ohio45202

Description

In1973,ontherecommendationoftheArchdiocesanPastoralCouncil,anannualcollectionwasestablishedtoprovidefinancialsupporttoover100lifegivingandlifesustainingorganizationslocatedwithin19countiesoftheArchdioceseofCincinnati.ThecollectionisheldinOctoberinourCatholicparishes.AllmoniescollectedareforwardedtotheChanceryOfficeanddesignatedfortheRespect-LifeCollection.AportionofthesefundsassistinsustainingtheRespectLifeprogramsofthearchdiocese. ThebalanceisdesignatedforRespect-LifeGrants.ApplicationsareevaluatedbytheRespect-Life Grant Committee,facilitatedbytheDirectoroftheFamilyand Respect LifeOffice. RecommendationsareprovidedtotheArchbishopforhisfinalapproval.

FundsaredisbursedinJanuary.

ApplicationAvailability

ApplicationformsareavailablebeginningSeptember 8, 2014fromtheFamilyand Respect LifeOffice.Call the Family and Respect Life Office of the Archdiocese of Cincinnati at (513)421-3131, ext. 2653 to request an application by email or throughthe U.S.postalsystem.

GeneralGuidelines

Organizationsmustmeetthefollowingcriteria:non-profit,Respect-Life,notanti-Catholicandlocatedwithinthe19countiesservedbytheArchdioceseofCincinnati.Respect-Lifefundsareavailableforapplicationbymeetingoneofthefollowingconditions:

1)Toprovideseedmoneyfornewprojectsand/orprograms.

2)TosupportprogramsthatwillhaveasignificanteffectintheformationofRespect-Lifeattitudes.

3)Tosupportprogramswhichprovidepositiveassistanceinhelpingindividualsmakeinformed Respect-Lifedecisions.

SpecificGuidelines

1)Onlyoneapplicationperorganizationwillbeacceptedforconsideration.

2)TheRespect-LifeFundhasbeenestablishedtoprovidefinancialsupportforspecific

Respect-LifeProgramsandnottosimplyprovidesupportforanorganization.Therefore,

applicationsmaynotbesubmittedforordinaryadministrativeexpense(i.e.salaries,rent,

etc).

3) Funds may not be used for speakers.

4)Fundsmaynotbeusedforpoliticalpurposes.

5)Organizationswhichreceivedfundingwithinthepreviousyearmustcompleteandsubmit

FormBwiththeirapplication.

6)Incompleteand/orapplicationspostmarkedafterthedesignatedsubmissiondatewillnot

beconsidered.

7)Grantsaretobeusedonlyforthedesignatedprogram/project.Ifthe program/projectfails

tomaterializewithinthedesignatedyear,fundsgrantedmustbereturnedtotheFamily

and Respect LifeOffice.

DirectionsforSubmission

1)DeadlineforsubmissionisFriday,November7,2014,bythecloseofbusinessat

4:00p.m.

2)Applicationswhichareincompleteand/orarriveafterNovember7thwillnot be

consideredandwillbereturned.

3)IftheorganizationreceivedRespect-LifeFundinginthe previous year,FormBmustbe completedandsubmittedwithcurrentapplication.

4)Onlyone(1)applicationperorganizationmaybesubmitted.

5)Completed applications and supporting documents can be emailed to

r through postal service to

Family and Respect Life Office

Respect Life Fund

100 East Eighth Street

Cincinnati, OH 45202

6)Acoverletteristoaccompanytheapplication(please submit (5) copies if postal mail.)

7)Aletterofsupportfromtheorganization’sdirectororboardchairmustaccompanythis

application.

8)Completeexplanationsshouldbegiven,butinasconciseformaspossible.Ifany

questionsarenotapplicabletoyourprogram,merelymarkN/Aandskipthequestion.All

questionsapplicabletoyourprogramandthisapplicationmustbeanswered.

9)Ifyouwishtoincludepertinentattachments(anewsarticleregardingyourgroup,letters

ofendorsement,etc.)theseshouldnotexceedTHREE(3)pages.

Pleasedirectanyquestionsabouttheapplicationand/orprocesstothe

Family and Respect Life Office at 513.421.3131, ext. 2624.

Pleasereturnthisapplicationto:FORMA

or by mail to

Archdiocese of Cincinnati

Familyand Respect Life Office

100 East Eighth Street

Cincinnati, OH 45202

TITLEPAGE

ApplicationforRespect-LifeFunding

Organization:

Address:

City/State/Zip:

ContactPerson

nametitle:

Phone:

Fax:

e-mail:

1. Inwhatyeardidthisorganizationbeginprovidingservices?______

2. What is the organization’s tax status?Exempt (attach a copy of the IRS determination letter)

Other ______

3. The organization’s fiscal year ends:June 30December31Other

4.DidthisorganizationreceiveRespect-LifeFundingduring the previous year?NoYes.

If yes, Form B must also be submitted.

5.DidthisorganizationreceiveRespect-LifeFundingpriortothe previous year?NoYes.

Ifyes,whatyears?______

6.Title of the project/program for which funds are being requested:

7.Total amount of funds being requested in this application

$______

Archdiocese of Cincinnati Family and Respect Life OfficeRevised September 2014

FormA–page2

ApplicationforRespect-LifeFunding

ABSTRACTofPROPOSAL (no more than 50 words)

Briefly describe the project/program forwhich the applicant is requesting funds.Include the

following:(1)primary purpose of the project/program:educational__pastoral__

public policy__other __(explain); and (2) is a new project/program ORacontinuationofanexistingproject/program.

Archdiocese of Cincinnati Family and Respect Life OfficeRevised September 2014

FormA–page3

ApplicationforRespect-LifeFunding

INTRODUCTION

1.Summaryof qualifications of person applying:

2.Provide information about the organization by completing the following:

a)TheMissionof______isto:

(name of organization requesting funds)

b)TheorganizationhasaBoardofDirectors/Trusteesor

Membersinclude:(a listmay be attached if available).

Chair:

Vice-Chair:

Secretary:

Treasurer:

Othermembers:

c) What is the organization’s “Statement of Faith,” if any?

Archdiocese of Cincinnati Family and Respect Life OfficeRevised September 2014

FormA–page4

ApplicationforRespect-LifeFunding

3. This project/program will specifically target:

•the target population is

•the target population is located in

•thenumber of people to be affected is

NEED/PROBLEM STATEMENT

1.Identify the problem

2. This project/program will contribute to fulfilling the organization’s mission because:

3. We ______believe that the

(nameoforganization)

Archdiocesan Respect-Life Fund should support this specific project/program because:

4. Cite literature and/or statistics to support your proposal:

5. How will the targeted population specifically benefit?

Archdiocese of Cincinnati Family and Respect Life OfficeRevised September 2014

FormA–page5

ApplicationforRespect-LifeFunding

OBJECTIVESMETHODS

1.What will happen as a result of this grant proposal being accepted and implemented?(Use

specific/measurable outcomes.)Using a step by step description, summarize how each

objective will be met.

2.If this application is not funded, will the project program/be initiated or continued?

yesno

If no, please describe whythe project/program will not be initiated or continued.

Archdiocese of Cincinnati Family and Respect Life OfficeRevised September 2014

FormA–page6

ApplicationforRespect-LifeFunding

EVALUATION

The success of this project/program will be measured and/or evaluated as follows (the evaluation

criteriamustbe specific, measurable, and time-related):

Archdiocese of Cincinnati Family and Respect Life OfficeRevised September 2014

FormA–page7

ApplicationforRespect-LifeFunding

BUDGET

1.Explain in a brief paragraph, the anticipated budget for this project/program.

2. This is a ___newproject/programor ___a continuation of an existing project/program.

If this is a new project/program, the organization will fund this project/program in the future

by:

3.What is the total cost of this project/program? ______

What part of this total cost does this application for funds cover? ______%

Please list in the table below total sources of income and total expenses for this

project/program (Be specific the to the project/program. You may attach a specific budget if

available. Do not include income/expenses for your entire organization here.)

IncomeExpenses(must agree with #7 on Title page of Form A)

Items

Respect-Life Funding$

Donations-individuals

Donations-companies

Donations-churches

Fund raising

Other

Total$

* Please provide details for each item—additional expenses may belisted on another page.

Archdiocese of Cincinnati Family and Respect Life OfficeRevised September 2014

FormA–page8

ApplicationforRespect-LifeFunding

4.Please identify support this organization receives from Catholic parishes: materials, amounts

contributed.(For example:Sts. Margaret & Paul – BabyShower; St. Dennis & James -

$1000.)

ParishItem/Amount

5. If the funding requested in this Application does not cover 100% of the project/program cost,

how will the funding from this grant be used?(Indicate specific parts of the program/project

that will be paid for with the grant money such as the printing of education material, purchase

of cribs, etc.)

ItemCost

6.If this application is not funded, how the funds will be obtained.

7.If funding is granted, how will project/program funding be sustained in the future?

Archdiocese of Cincinnati Family and Respect Life OfficeRevised September 2014

FormA–page9

ApplicationforRespect-LifeFunding

Pleaseprovide the following information about the organization’s financial statements. In

additiontocompleting these tables, please attach a copy of the organization’s financial statement

for the most recentlycompleted fiscal year.

Item

Year Ending Date

Income

Fees for services

Donations

Respect-LifeFund

Government grants

Other

Total income*

Expenses

Salaries

Payroll Taxes

Benefits

Rent

Utilities

Cleaning

Officesupplies

Consultants

Accounting

Transportation

Dues/subscriptions

Seminars/workshops

Maintenance

Interest

Equipment/Furniture

Other

Total *

Income less expenses*

*Should agree with attached financial statements

ItemAmount

Cash in bank

Accountsreceivable

Buildingsand land

Equipmentand furniture

Accountspayable

Archdiocese of Cincinnati Family and Respect Life OfficeRevised September 2014

FormA–page10

ApplicationforRespect-LifeFunding

APPENDIX,RESOURCES,SUPPLPEMENTARYMATERIALS,LETTEROF

SUPPORTFROMORGANIZATION’SDIECTOR(ifnotapplicant)orBOARD

CHAIR (if applicant is organization’s director).

Archdiocese of Cincinnati Family and Respect Life OfficeRevised September 2014

Form B

ApplicationforRespect-LifeFunding

*Report on Funds Received from the Archdiocesan Respect-Life (Pro-Life) Fund in the previous year.
(This form must be completed and submitted with the current application if a Respect-Life [Pro-Life] grant was awardedfor this past year. Applications that do not contain a required Form B will not be considered.)

Applicant:

ContactPerson:

hone:Fax:

e-mail:

Name of Project

Amount of grant:

1.The primary purpose of thiseducational__pastoral__ publicpolicy__ other__

project/program was to:

2.This project/program was anew project/program ORacontinuationofanexisting

project/program.

3.This project/program affected: (please give specific numbers and target population)

4.We evaluated the effectiveness or success of this program withthe following criteria:

5.Please list in the table below total sources of income and total expenses for this

project/program last year.

Expenses

AmountsItemsAmounts

MedicalSupplies$

Office supplies

Transportation

Publications

Speakers

Educational Materials

Equipment

Other

Archdiocese of Cincinnati Family and Respect Life OfficeRevised September 2014

6.What would you change in this project/program or what did you already change in this

project/program as a result of your experience/evaluation of last year?(attach page)

Archdiocese of Cincinnati Family and Respect Life OfficeRevised September 2014