Community Grants Request

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GRANT APPLICATION COVER SHEET

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GRANT APPLICATION

Please provide the following information in the order below beginning with the Narrative and followed by Attachments.  Use these headings, subheadings and numbers provided in your own word processing format, thus leaving flexibility for length of response. Save file with the name of your organization in a PDF format to upload below.

A. 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 how they will benefit.
• Description of project goals, measurable objectives, action plans, and statements as to whether this is a new or ongoing part table for implementation.
• Goals
• Measurable objectives

3.    Evaluation

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

4.    Budget Narrative/Justification

• Provide a budget for use of the requested grant.
• List of amounts requested of other foundations, corporations and other funding sources to which this proposal has been submitted.
• List of priority items in the proposed in the proposed budget, in the event that we are unable to meet your full request.

5.    Organization Information

• Brief statement of organization’s mission and goals.
• Description of current programs, activities and accomplishments.
• Organizational information, including board, paid staff and volunteer involvement.

B. ATTACHMENTS

1.    A copy of the current IRS determination letter indicating 501(c)(3) tax-exempt status.

2.    List of Board of Directors.

3.    Finances: Organization’s current annual operating budget, including expenses and revenue.

4.    Include signatures, typed name, title and date for Chairperson, Board of Directors and/or Executive Director.

5. Letters of support should verify project need and collaboration with other organizations. (Optional)

Zonta Club of St. Louis’s entire responsibility is expressly limited to payment of the total grant, if approved, and Zonta does not assume any further responsibility in connection with this grant. The grantee organization agrees to indemnify and hold harmless Zonta Club of St. Louis and their officers, directors, and agents from and against any liabilities and expenses, including attorneys’ fees, arising from the grantee organization’s actions or omissions or those of its officers, directors, employees or agents.

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