Industrial Arts Grant Application Form

2018 Richard Hayes

“Like a Rock” $20,000.00

Industrial Arts Grant Application Form

2018 Grant Application Form

**Note: All Ninecontact information lines and questions Must be answered**

~Please feel free to add additional space for details~

Organization Name:
Address:

Phone Number(s):

Grant Writer:
Email Address:

Phone Number(s):
Program Director:

Email Address:

Phone Number(s):

(Your organization is responsible for giving this information to the appropriate person in charge of your grant process)

Date:

1.Amount Requested $______is this a new program? Y N

2.In one sentence, tell us what you want to use the money for if your request is granted:

3.Describe in detail the project or program for which funding is requested:

4.Do you have funding from other sources pending? If this other funding does not get approved how will this affect this project?

5.List the type of people you would be serving with this project/program:
A.Who will benefit?

B.How many will benefit?

6.What is the community benefit for this request:

7.What is the work plan/timeline for this request:

8.Describe the plan by which this project/program will be evaluated:

9.If needed, how will project/program be funded in the future:

10.Please complete this form by providing an itemized budget (with as much detail possible) for consideration of your project.

*Please list cost of each individual items cost, in the event we are only able to partially fund your request.

Project Budget

To only the original of your application, please attach the following:

• List of your governing board and their business/professional affiliations (not required of GUSD nor the City of Gilroy).
• Letter authorizing application for grant from your organization.
• Currenttax-exempt status documentation: A copy of the organization’s most recent RRF-1 report for the State of California (not required of City of Gilroy nor accreditedpublic and private schools).
• Last year’s financial statement of your organization (not required of City of Gilroy nor public schools).

Note: Your attachments must be limited to these four items above.

Mail via US Postal Service: THE ORIGINAL (with all attachments) and(8) copies (one sided only) of this application form to P.O. Box 774, Gilroy, Ca 95020.

Note: Completed forms must be postmarkedno later than January 31, 2018.

Please NOCertified Mail, - However, “Delivery Confirmation” can be purchased for your needs.

Hand delivery is also available by appointment only by calling the Foundation offices at 408.842.3727 or emailing

All applicants will be notified in March, with grant money being distributed in April at the Foundation’s Annual Meeting and Charitable Giving Presentation event.

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