>$3,500 Grant Application - San Juan Island Community Foundation

A pre-application meeting is required BEFORE you fill out this form, if you haven't done so yet please contact the office at (360) 378-1001 to schedule.

Part I

About the organization.

Organization Name*

Project Title*

Amount Requested from the Community Foundation*

Organization Tax ID (EIN) Number*

Mailing Address*

Address City State Zip

Website*

Contact Person*

First Last

Position*

Phone*

Email*

Do you do a physical mailing?*

Yes

No

How often?*

When is the next mailing?*

Do you retain an email list of supporters?*

Yes

No

Do you communicate with your supporters via email?*

Yes

No

How often?*

When is the next email communication?*

Please describe any other outreach, events, etc. you anticipate over the next 12 months*

Examples: spring newsletter, summer email, fair booth, etc.

Number of paid staff*

Number of volunteers*

Briefly describe your organization’s history, mission and major accomplishments and goals.*

Briefly describe any current programs and activities.*

Project Overview

Project Title*

Brief Explanation of the Grant Request*

Is this a new project?*

Yes

No

Project Start Date*

Project End Date*

Total Project Budget*

Number of people the project will directly benefit*

Dollar amount requested from SJICF*

Date Funds are Required*

Part II

Your project narrative & evaluation should be limited to no more than 3 single-sided pages with reasonable margins. Include the outline questions below in the narrative to explain the key components of your project. Please answer each question, there are no right or wrong answers.

Project Narrative

Describe the project and its anticipated significance to those you seek to serve, your organization and the community. Include quantifiable information.
What community issue(s) does this project address? Why is ‘now’, a good time to offer or launch this project?
What are the project goals and objectives?
Describe relationships your organization has with other organizations providing similar services.
How will this project enhance your organization and/or make an impact on the community?
Who was involved in the planning and how will they benefit?
How does this project relate to existing programs?
How will you inform the community and program beneficiaries about this project?
Has this project been funded before and if so, by whom?
What contingency plans do you have if your fundraising goal is not reached?
How do you plan to support this work going forward?
Is there anything else you would like us to know?

Evaluating Your Project (please include quantifiable information)

What results do you expect to achieve from this project?
How will you measure the results?
How will you communicate the results to your funders?

Attach File: Project Narrative & Evaluation

Accepted file types: pdf, doc, docx, Max. file size: 512 MB.

Part III

Provide a budget that identifies and explains the sources of revenue and the expenses for this project.

Please include:

Project Expenses
Actual sources of revenue
Potential sources of revenue
Committed sources of in-kind support
Potential sources of in-kind support

Complete #6 thru #12 if project includes building or equipment

Detailed description (including architectural plans)
Location information
Property ownership
Identify all encumbrances
Permits required and permits received
Detailed capital budget
Bids or estimates from 3 different contractors or vendors

Attach File: Budget & Explanation

Accepted file types: pdf, doc, docx, Max. file size: 512 MB.

Part IV

Additional attachments.

Attach File: Mission Statement, Board & Meetings

Please attach file that includes organization mission statement, list of Board of Directors and schedule of meetings.

Accepted file types: pdf, doc, docx, Max. file size: 512 MB.

Attach File: IRS Letter of Determination

Attach IRS Letter of Determination showing 501(c)3 status or confirmation that the Community Foundation has this on file.

Accepted file types: pdf, doc, docx, Max. file size: 512 MB.

Attach Files: Brochures, Newspaper Clippings, Annual Report

Attach brochures, newspaper clippings, current annual report (optional).

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 512 MB, Max. files: 5.

Attach File: Letters of Support

Attach letters of support (required if other organizations and/or individuals are integral to the completion of the project).

Drop files here or

Accepted file types: pdf, doc, docx, Max. file size: 512 MB, Max. files: 10.

FISCAL YEAR-TO-DATE FINANCIAL STATEMENTS, AUDITED IF AVAILABLE

Attach File: Current 990

Most current Form 990 as filed with the IRS (first 5 pages only) or confirmation that the most current copy is posted on guidestar.com

Accepted file types: pdf, doc, docx, Max. file size: 512 MB.

Attach File: Budget

Please attach current year operating budget. NOTE: if your organization serves more than the San Juan Island community, please include your operating budget for San Juan Island.

Accepted file types: pdf, doc, docx, Max. file size: 512 MB.

Attach File: Balance Sheet (statement of financial position)

Please attach fiscal year-to-date balance sheet, audited if available.

Accepted file types: pdf, doc, docx, Max. file size: 512 MB.

Attach File: P&L

Please attach fiscal year-to-date Profit & Loss statement, audited if available.

Accepted file types: pdf, doc, docx, Max. file size: 512 MB.

Hidden

Attach File: Activities

Please attach statement of support and expenses (statement of activities).

Accepted file types: pdf, doc, docx, Max. file size: 512 MB.

Terms & Conditions

If the applying organization is awarded a grant from the San Juan Island Community Foundation for the purposes stated in this application, the following terms and conditions apply. The funds are to be used solely for the purposes stated in your application. By accepting the grant, you agree:

To obtain the Community Foundation’s approval in writing if there are significant changes in your proposal;
To promptly update the Community Foundation if there are changes to the:
Scope of the project;
Board of Directors membership, officers or full-time staff;
Significant financial changes, contractual agreements, lawsuits or conflicts of interests for the organization and,
Other grants for the purposes or project stated in your application.
Within six months of receipt of funds, to provide the Community Foundation with a formal report that includes and quantifies the project’s successes, any difficulties encountered and how they were overcome and fund expenditure detail;
That any portion of the grant not used by you in accordance with your proposal or in a manner that has received our subsequent written approval, is returned to the Community Foundation;
To allow the Community Foundation to use the organization name in general marketing and/or promotional material;
To allow all information supplied in this proposal to be distributed to the Foundation board, staff, committee members, Community Foundation fund holders and other potential donors deemed appropriate by the Foundation;
To include permissions of submitted photos;
To allow all information supplied in this proposal (except information specifically indicated in a separate written agreement signed by your organization and the Foundation) to be made public. Examples of possible public use include but are not limited to the Community Foundation website/press releases/annual reports, newsletters, etc.;
To provide the donor(s) with a thank you letter at the time of the grant award. Donor(s) will be identified in the cover/contract letter that will accompany a grant award;
To submit a Letter to the Editor(s) to acknowledge both the program you are providing and, the support you have received from the Community Foundation of San Juan Island;
That this grant proposal may be considered for inclusion in the Community Foundation’s ‘Matching Grant Program’ and if so, your organization will promote the ‘Matching Grant Program’ using your mailing and/or email contact lists;
To give permission to the Community Foundation to contact partner organizations and any other references given as specified in the proposal and,
To hold the Community Foundation harmless from all claims and consequences arising from this proposal or any subsequent award.

I have read and agree to the terms and conditions.

Signature*

Title*

Date*

Nonprofits

Grant Application: Requests >$3,500

Part I

Project Overview

Part II

Part III

Part IV

Terms & Conditions