North Carolina Youth Advisory Council

2016-2017 MINI-GRANT REGULATIONS

To qualify for a mini-grant, applicant organization must:

Be a chartered youth council, a newly formed youth council, or a non-profit organization/agency located in North Carolina interested in developing innovative youth programs that are directed by youth.
Be a local government agency or 501(c)(3) non-profit organization.
Involve youth ages 13-18 in project development, implementation, evaluation and writing of grantproposal.
If organization is incorporated, the corporate seal will be required on contract if application is approved for funding.

APPLICATIONREQUIREMENTS
The application is fill-in. Complete the application, print, and sign.
All funding requests must not be less than $100.00 and not more than $500.
Grant applications [five (5) stapled copies on 8 ½ x 11 paper] must be received in the Youth Involvement Office by 5:00 p.m. October 31, 2016.
Non-profit organizations must submit a letter of reference with the application. This letter may come from a local government official or the sponsoring agency director and must be signed by that person. If the letter is not submitted with the application, the application will not be considered.
Funds must be used to directly fund the project and cannot be used for expenses such as clothing, salaries, scholarships, transportation, entertainment, awards, gifts, incentives, tickets, food, etc.

GRANT REQUIREMENTS
Required progress reports must be submitted to the Youth Involvement Office.
Project must be completed within 90 days of designated completion date as documented in the PROJECT DESCRIPTION.
Source of project funds must be stated in all documents, publications, media, and oral or visual presentations related to the project.

DISBURSEMENT OF GRANT FUNDS
Funds are normally dispersed several weeks after the approval of the contract.
Consider when requesting a grant that you will receive your funds in spring 2017.

Return Completed Application To

GENERAL INFORMATION

1. Name of Organization:

2. Federal Tax ID Number (TIN):

3. Physical Address of Organization (Do not use a P.O. Box)

4. Web Address:

5. Contact Person (Adult) for Organization:

6. Telephone Number of Contact Person:

7. Email Address of Contact Person:

8. County:

THE ORGANIZATION

9. Age of Organization:

10. Number of Youth Members:

11. Ending date of organization’s fiscalyear:

12. Is organization funded? Yes No

(If yes, give brief statement of amount and purpose of funding.)

13. Give a Brief History of the Organization

14. Have you previously received a mini-grant from the Youth Advocacy & Involvement Office? YesNo

(If yes, when, and for what project? Briefly describe the results of the project.)

15. Is organization seeking funds from other sources?YesNo

(If yes, list sources and amounts.)

THE PROJECT

16. Grant Amount Requested:

17. Number of youth the project will serve:

18. Age range of youth to be served:

19. Will project continue after all mini-grant funds are exhausted? YesNo

(If yes, explain how it will continue.)

20. Complete project itemized budget sheet included with this application.

21. Complete project description sheet included with this application.

______

When completed, print, sign, and date application.

Signature of Organization Chairperson(Youth)______Age: ______Date: ______

Signature of Organization Advisor (Adult)_______Date: ______

ITEMIZED Project Budget

TOTAL / 0.00

If you have any difficulty completing this form, please contact Harriett Southerland at 919-807-4408 orCandace Dudley: 919-807-4407

PROJECT DESCRIPTION