Program Must Directly Provide for the Care, Development Or Welfare of Children

The mission of the Keene Elm City Rotary event, Clarence DeMar Marathon, is to help organizations in the Monadnock Region who provide care and assistance to those who need us most… Our Community’s Children.

Dear 2014 KECR DeMar Marathon Beneficiary Applicant:

Each year, the Keene Elm City Rotary honors a local non-profit agency with a significant monetary contribution. It is necessary to apply for these funds with the following information. If your organization has a program or project in Cheshire County that fits the following criteria, we urge you to apply.

· Program must directly provide for the care, development or welfare of children

· Organization must have a base in and serve the children of Cheshire County

· Organization must be operating under a 501(c)3 determination and have been serving

Cheshire County for a minimum of 3 years

· A comprehensive plan must be attached to demonstrate how funds will be raised for the program or project and illustrate the % of funding already received

· Request must not be associated with a capital campaign or individual scholarship

Special consideration may be given to projects that directly benefit “at-risk” children and/or children in need of disaster relief.

The DeMar Marathon Beneficiary will be awarded up to $10,000, based on recipient need and proceeds from the Marathon, as determined by the DeMar Committee and the KECR Board.

All applications will be submitted to the Beneficiary Selection Committee for review. Applications can be mailed, emailed, or hand-delivered and must be received by February 14, 2014 at 5 pm.

Mail to:

Clarence DeMar Marathon

Keene Elm City Rotary

P.O Box 1786

Keene, NH 03431

***Preferred Delivery Method***
Email to:

OR
Hand-deliver to:

Monadnock United Way
ATTN: DEMAR MARATHON

23 Center Street

Keene, New Hampshire 03431

We welcome questions about Elm City Rotary, our mission, your application and selection criteria. Contact Alan Stroshine, Day phone: 603-812-5682

KECR is delighted to be a partner in the work of our Cheshire County non-profit agencies through the Clarence DeMar Marathon and look forward to hearing from you.

Sincerely,

Alan Stroshine, Race Director
Keene Elm City Rotary/2014 DeMar Marathon

REMINDER: Application must be received by:
5:00 pm on February 14, 2014
incomplete applications will not be considered

Organization/Program Summary

Name of Organization: ______

Address of Organization: ______

Contact’s Name and Phone Number: ______

Name of Program w/in Organization: ______

What Community(ies) do you serve (city, county, etc.):

Have you applied to KECR for funds in the past? If so, were you granted funds and when?

Do you have KECR members serving on your Board of Directors and/or as paid staff members? If yes, please list:

Funding Request Summary

Program Type (choose one): o Youth Arts Initiative o Mental/Physical Welfare o Kids Health
o Homeless Youth and Babies o K-12 Education o Other ______
Funding type: o Operating Expense o Program/Project

Does the United Way support your agency?

If yes, how much money do you receive? $______% of Overall Budget? ______%

WHAT TO EXPECT AFTER YOU APPLY

After your application is received, we will review each application based on your written proposal matching them with the DeMar Marathon priorities and attached review criteria. Committee members may also arrange phone calls with you and others in the community as part of the review process. The review process takes about 30 days, so you can expect to be notified and, if necessary, receive further instructions no more than 45 days after the deadline.

Please note that the selected applicant will be expected to provide assistance to KECR with their efforts to raise funds on behalf of their organization. This includes making one or more representative(s) available for the entire day of the race. You are encouraged to display information about the project/program during the marathon and invite your board members and guests to participate. The successful applicant will be invited to one of our regular Elm City Rotary morning meetings to present information about the project/program.

______

Signature of Executive Director Date

______

Signature of Board President Date

Please see next page (or reverse) for detailed instructions and additional information required

REMINDER: Application must be received by:
5:00 pm on February 14, 2014 – incomplete applications cannot be considered

Using additional documentation please provide the following with your application and answer each question that is appropriate to your request.

A. GENERAL INFORMATION

1) Legal name of organization:

2) Tax Identification Number or EIN:

3) Address of Cheshire County headquarters:

4) Telephone: Fax: Email:

5) Name of Executive Director:

6) Request submitted by:

7) Telephone: Fax: Email:

8) Program/Project name:

9) Amount requested:

B. PROGRAM/PROJECT INFORMATION

1) Describe the specific program / project and its financial requirements.

a) Include number of children to benefit annually as well as ages or age group of children to be served.

b) Identify how this program/project will meet a need in Cheshire County.

c) Identify and describe relationship with any collaborating organizations.

2) List of program/project objectives.

3) Activities to achieve program/project objectives.

4) Process to evaluate program/project objectives.

5) Timetable for implementation.

6) Identification of key personnel to execute project, including staff and volunteers.

C. REQUIRED ATTACHMENTS

1) A brief summary of the purpose, mission and history of your agency.

2) A list of the agency’s current Board of Directors.

3) A copy of your organization’s 501(c)(3) determination letter.

4) A copy of your most recent Form 990.

5) Copy of detailed current year agency budget.

6) Projected next period agency budget.

7) Detailed program/project budget:

a) Attach a budget of your specific request detailing the disbursement of funds and approximate date the monies will be used.

b) Identify what percent of monies from the DeMar Marathon will be used for staff, equipment, and program/project expenses.

c) Describe the current fundraising efforts for your organization and how it relates to this program / project:

i) Major Fundraising Event(s) & Amount(s) Raised

ii) Identify existing funding and/or potential funding from other sources.

8) We encourage additional, pertinent materials and information to support your application package. Such items may include letters of support, photographs, media coverage, etc.

REMINDER: Application must be received by: 5:00 pm on February 14, 2014 – incomplete applications will not be considered

Email , Hand Deliver or Mail to: The Monadnock United Way, 23 Center Street, Keene, NH 03431