2018 General Funds Grant Application

Legal Name of Organization: ______

(Should be the same as on IRS proof of nonprofit status letter)

Mailing Address: ______City: ______State: ______Zip: ______

Contact Person: ______Title: ______

Phone Number: ______Email: ______

  • Is your organization an IRS 501(c)(3) not-for-profit?Yes_____ No_____

(If Yes, FEIN #_______)

OR

If yes to any of the questions below, proof of nonprofit status is not needed.

  • Is your organization a unit of the government?Yes_____No_____
  • Is your organization a religious institution?Yes_____No_____
  • Is your organization an educational institution?Yes_____No_____

Have you received a CFSEK General Funds grant before? YES_____No_____

Grant Applying For: Basic Human Needs Children/Youth Activities

1. Project Title: ______

  1. Estimated Number to be served by Project: ______
  1. Brief Project Description (130 word maximum):
  1. Amount Requested: $______

GRANT NARRATIVE:

  1. Provide your organizations Mission Statement.
  1. Provide a brief organization description.
  1. Identify the need addressed by your project and gaps in existing services it will fill.
  1. Describe the population to be served by your project including available demographics.
  1. What are your goals and expected outcomes for this project?
  1. Name the agencies you will collaborate with and describe the collaboration.
  1. How will you know if your project is successful?
  1. Please list your organizations Board of Directors.

PROJECT BUDGET:

  1. Provide an itemized budget and budget narrative for proposed project.
  1. List all funding sources for this project.
  1. Is your organization willing to accept partial funding for this project?

NAMES OF AUTHORIZATION:

Organization Name: ______

Organization Address: ______

Organization Administrator: ______

Organization President/Chairperson: ______

PROJECT EXPENSES TYPICALLY NOT FUNDED

  • Ongoing operating expenses/Salaries/Stipends
  • Mileage reimbursement or travel costs
  • Building /construction projects
  • Religious activities unless the project serves the general public regardless of religious affiliation
  • Political activities

SUBMISSION INSTRUCTIONS:

All applications must be:

  • Received by 3:30 pm, Tuesday, June 26, 2018
  • Typed
  • One-sided
  • Not stapled

Please include:

  • Copy of IRS nonprofit status letterif not already on file at the CFSEK office. Please do not include Sales Tax exemption letter.
  • Above information ONLY. No cover letters or letters of support.

Email your application packet to:

OR

Mail your application packet to:

Community Foundation of Southeast Kansas

P.O. Box 1448

Pittsburg, KS 66762

OR

Deliver your application packet to the Foundation office at:

100 South Broadway, Suite 100

Pittsburg, KS 66762

Office Hours are Monday-Friday 8:00 a.m. to 4:30 p.m.

Please call 620.231.8897 with any questions.

Contact the CFSEK office within one week of submitting the application if you HAVE NOT received a confirmation message.

Completion of the 2017 General Funds grant evaluation reportwill be considered in the grant review process.