NOAH’S GIFT
Application for Funding
Fund management is through
The Community Foundation of Northwest Mississippi
a 501 ( c ) 3 public charity
315 Losher Street, Suite 100
Hernando, Mississippi 38632
662.449.5002
Noah’s Gift Fund was established to inspire and reward deserving young people
with the gift of an extraordinary experience that was of interest
to 16-year old Noah Costa at the time of his death.
Instructions for Completing the
NOAH’S GIFT APPLICATION
Age qualification:13-19 years
Please type the application, if possible, as this aids the selection committee in making a decision. Unreadable applications may not be considered.
You may attach extra sheets of paper or type the entire application on a separate piece of paper as long as all the questions on the application are answered.
The application must be returned by September 27, 2013 (5 pm)to the Community Foundation of Northwest Mississippi, 315 Losher Street, Hernando, MS 38632.
The maximum request is $2,500.
NOTE: Education expenses are not eligible for funding
Applicant Information Sheet
Applicant’s Name: ______
Applicant’s Address: ______
Home Phone: ______
(or best number to reach you)
Date of Birth: ______
E-Mail Address: ______
Applicant’s School ______
Note: If graduated, name of last school attended
Parent(s)/Guardian Name: ______
Parent(s)/Guardian Name: ______
Please mail to:
Noah’s Gift Fund Application
c/o Community Foundation of Northwest Mississippi
315 Losher Street, Suite 100
Hernando, Mississippi 38632
Phone 662.449.5002
Essay Questions:
Please answer all of the questions on separate pages and attach. You may choose to number each question and answer separately, or combine your answers within one essay. Please answer in complete sentences, with proper grammar, spelling, and punctuation. There is no set length requirement, but please answer all questions with a full response.
Please explain if and how you knew Noah Costa: i.e., attended or participated in programs, activities or organizations in which Noah participated or enjoyed. (This is not a requirement to be awarded this grant, although said participation or knowledge may be given special consideration.)
What will you do with the Noah’s Gift funds? What will be your extraordinary experience?
How much will your experience cost? When will you need the funds to complete your experience?
How will this project make a difference in the lives of others? How will it change your life?
Why is your project worthy of funding?
If you do not receive your full request, how will you raise the remaining funds for your experience?
Please describe your community service activities.
How have you helped Noah’s Gift 5K-Run-Walk-Skate event?
How will you help Noah’s Gift 5K-Run-Walk-Skate event?
How have you been or will be an ambassador for Noah?
EXAMPLE ESSAY:
My name is Joe Johnson.I am 16 years old.I did not know Noah, but I love to play hockey, just like he did. I would like to attend Pro Ambitions Battle hockey camp in Troy, Michigan. Attending hockey camp will help me to achieve my goal of becoming a professional hockey player. As a professional hockey player, I would like to make a donation back to Noah's Gift fund to help other kids be able to play sports, as well as teach hockey camps and volunteer to work with kids during the summer.
Currently, I am a volunteer for with my local library, reading to children, helping with upkeep of the library and assisting with their Bookmobile program that visits local daycare programs during the summer. I am also a member of Beta Club, helping with local conservation and highway clean up programs as well as food drives and distributions and staffing at our senior citizen activities center. Last year I ran in the Noah’s Gift 5K race, and this year I am excited to also compete in the challenge games. I am asking my friends and family to sponsor me in the race and will get as many pledges as I can.
Playing competitive hockey has helped me to become a more disciplined individual and has kept me out of trouble. I believe playing sports shows kids how to work hard and work together, a lesson that will carry over into their adult lives and help them become productive citizens. Attending this camp will also help me help my current team win more games, thereby assisting my teammates in achieving their goals of getting a college education through hockey scholarships.
Camp costs $1,600 and the deadline to apply for camp is April 30. I currently have my own lawn business, and put aside 50 percent of all my earnings to help fund my dream. I will use this money to cover any remaining portion of the cost, should the Noah’s Gift grant not cover all of it.