Whitley County Community Foundation Grant Application

The Whitley County Community Foundation funds charitable projects that will make a positive impact on Whitley County and its people. The foundation is particularly interested in ideas that shed new light on local needs and provide innovative, long-term solutions. Categories include; Arts & Culture, Health, Civic Affairs, Recreation, Community Development, Welfare, and Education.

Unless there is compelling evidence that such support is vital to the success of a program meeting priority needs, the foundation is unlikely to support; Annual Campaigns, Political Activities, Private Schools, Advertising, Religions/Sectarian Causes, Organizations outside our service area, and Debt Retirement.

Requests for funding are reviewed by the Foundation’s Grants Committee, composed of residents from communities throughout the county. Their recommendations are forwarded to the Foundation’s Board of Directors, with whom all grant-making authority resides.

Grant Proposal Deadlines

Grant reviews are scheduled twice a year, in May and December. The deadline for submitting applications is April 1 and November 1, but applicants are encouraged to submit proposals well in advance.

Grant Obligations

Each grant recipient must sign an agreement that includes; public acknowledgment of the Foundation’s support, expenditure of the monies in one year for purposes stated in the proposal, return of any unused portion of the grant, completion of an evaluation report with copies of receipts and any conditions as mutually agreed.

Instructions

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Please review this form and have your responses ready.
It is advised to prepare your answers in advance.
You may also copy and paste your answers from Microsoft Word or other text based programs.

Base Data

Organization Information

Please fill in your organization's data here!

Name of Organization*

Address*

Email*

Re-enter Email*

City*

State*

Zip Code*

Phone*

Contact Person

Please enter contact data here!

Contact Name*

Phone*

Fax

Email*

General Information

Please fill out this section completely.

The following questions must be filled in for your application to be considered:

If you answer YES to these first two questions, you may be required to show documentation.

 Is Your Organization Registered as a Non-Profit Business Entity by the State of Indiana?* Please Choose Yes No

 Is Your Organization a 501(c)(3)?* Please choose Yes No

 If you answered YES to the question above, you "Must" upload your IRS letter of determination.*

Federal ID #*

Number of Persons to be impacted:*

Please list your board members.*

Short Answer

Please answer the following questions. You may attach an additional pages if necessary.

What is your Organization’s purpose. Briefly includes background and accomplishments.*

Describe your Proposed Project?*

Why is your project necessary? When possible, document the need with statistics.*

What do you expect to accomplish? If possible, make objectives measurable.*

What methods will be used to analyze results and refine your program?*

What is the proposed cost of the Project?*

Amount requested from the Community Foundation?*

Other sources of funding (include any other pending grant request)*

How will the project be funded or maintained in the future?*

Document Uploads

Please upload the following information and/or support materials. Documents formats allowed are zip, pdf, doc, xls, jpg, jpeg, gif, png, docx, xlsx. Maximum file size per document is 1megabyte.

Cover letter Annual Budget* Project Budget* Endorsement Letters

Other Files

Certification

To the best of my knowledge and belief, all data in this application are true and correct. The document has been duly authorized by the governing body of the applicant. Grant Applicant hereby certifies that it does not discriminate on the basis of race, national origin, religion, gender, gender preference, age, or disability ("non-discrimination factors") in its policies, practices, services, or standards for participation in its programs, except to the extent any such program lawfully provides services to a limited segment of the population based on any such non-discrimination factor. It is expressly understood and agreed that the Community Foundation is not a joint participant in, nor provider of, any of the Grant Applicant's programs or services. The Community Foundation’s role in Grant Applicant's programs and services is limited solely to making grants and assuring that grants are administered in accordance with the terms of the approved application. The Grant Applicant represents and warrants that it will use all granted funds in accordance with applicable laws. Grant Applicant agrees to indemnify, and hold the Community Foundation harmless from any liability imposed on the Community Foundation based on any conduct or omission occurring in connection with a program or service of Grant Applicant for which the Community Foundation has provided a grant.

Today's Date ...

Name of authorized representative:*

Title*

Authorized Representative. Please type your initials here.*

Security

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submit

Thank you for your grant submission to the Whitley County Community Foundation. You have been emailed a copy of your form submission in an Adobe PDF format. If you do not receive your email, please check your spam filter and whitelist our contact email, appinfo@whitleycountycommunityfoundation.org  .

We will review your application and if any additional information is needed, you will be contacted. Thank you again!

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