FRIENDS OF THE POOR® APPLICATION FOR GRANT FUNDS

Region

Required for Submission

1. This SVdP Conference must be officially aggregated Aggregation Date

2. This SVdP Conference has an IRS 501 (c) (3) letter and is in good standing EIN#

3. This application must be signed by a District Council or Diocesan Council President (not both)

4. If funded, you must agree to submit a detailed financial accounting of all grant funds within one year. The National Council reporting form must be used.

5. This request does not exceed the current grant limit of $5,000

These items MUST be included in your application or your application is considered incomplete

6. Enclosed is a Project Narrative (a detailed explanation of the project and its impact)

A. Brief History and Background

B. Purpose of Grant – overview of how funds will be used and its impact

C. Line Item Budget Narrative – written narrative in dollar format of specifically how the funds will be used

7. Enclosed is the Conference’s latest annual report (must be last fiscal year; no account statements or balance sheets will be accepted)

8. Current Account Balance

9. Funds Raised from Friends of the Poor® Walk

Please be sure you completed all 9 items. Incomplete applications will not be considered or returned.

Contact will not be notified if application is incomplete.

Date of Application:

Name of Conference:

Address of Conference:

Contact Name for This Application:

Contact Name Phone Number:

Contact E-mail Address:

Amount Requested:

Previous Friends of The Poor® Grant (If you have received funding in the past, indicate the date/amount)

Name of District or Diocesan Council President: : Date:

Signature of District or Diocesan Council President:

Updated 2/25/2016 – Any prior forms will not be accepted.

Mail completed applications to: Development Department at 58 Progress Parkway, Maryland Heights, MO 63043-3706,

or fax to 314-576-6755, or email to .