ELM ACRES FOUNDATION, INC.

GRANT APPLICATION COVER SHEET

All applications must be received by 3:30 p.m. on May 19, 2017

Applications must be typed, one-sided and not stapled

Date of Application: ______

Legal name of organization applying: ______

(Should be same as on IRS determination letter and as supplied on IRS Form 990)

Year Founded: ______Current Operating Budget: ______

Executive Director: ______

Address (principal/administrative office): ______

City/State/Zip: ______

Phone number: ______E-mail Address: ______

(include area code)

Contact person/title/phone number:

(if different from executive director): ______

Web address: ______

List any previous support from this funder in the last 3 years: ______

______

Project Name:______

Purpose of Grant (one sentence): ______

______

______

Dates of the Project: ______Amount Requested: $______

Total Project Cost: $______

Geographic Area Served: ______

Estimated number to be served: ______

______

Signature, Chairperson, Board of DirectorsSignature, Executive Director

______

Typed Name and TitleTyped Name and Title

______

DateDate

ELM ACRES FOUNDATION, INC.

GRANT APPLICATION FORMAT

Please provide the following information in this order. Use these headings, subheadings and numbers provided in your own word processing format, thus leaving flexibility for length of response. Applications must be typed, one-sided and not stapled.

  1. NARRATIVE

1.Executive Summary

  • Begin with a half-page executive summary. Briefly explain why your agency is requesting this grant, what outcomes you hope to achieve, and how you will spend the funds if the grant is made.

2.Purpose of Grant

  • Statement of needs/problems to be addressed; description of target population and howthey will benefit.
  • Description of project goals, measurable objectives, action plans, and statements as to whether this is a new or ongoing part of the sponsoring organization.
  • Timetable for implementation.
  • List of other partners in the project and their roles.
  • Names of key staff and/or volunteers that will ensure the success of the program.
  • Long-term strategies for funding this project at end of grant period.

3.Evaluation

  • Plans for evaluation including how success will be defined and measured.

4.Budget Narrative/Justification

  • A plan that shows how each budget item relates to the project and how the budgeted amount was calculated.
  • List of priority items in the proposed budget, in the event that we are unable to meet your full request.

5.Organization Information

  • Brief summary of organization’s history.
  • Description of current programs, activities and accomplishments.
  1. ATTACHMENTS
  1. Mission Statement
  2. Board of Directors list
  3. Proof of nonprofit status if not already on file at the CFSEK office
  4. Above information ONLY. No cover letters or letters of support.

ELM ACRES FOUNDATION, INC.

GRANT APPLICATION SUBMISSION INSTRUCTIONS

All applications must be received by 3:30 p.m. on May 19, 2017. All submissions should be typed, one-sided and not stapled.

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.

The 2016 final grant report will be part of the grant review process.