Grant Application

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Grant Applications are currently closed!

If you have any questions or concerns with an open application, please reach out directly to Lana Swartzwelder.

Name of Organization*

Legal name (if different)

Address*

City, State, Zip

Employer ID No. (EIN)*

Phone*

Fax

Website

Name Of Contact*

Title

Email*

Is Your organization a 501 (c) (3)

Attach a copy of the IRS Letter of exemption from federal income tax or other period of federal tax exempt status.

IRS Letter Of Exemption

Provide a brief description of your agency, including history, mission and vision.

Project Name

Amount Requested*

Will your agency accept partial funding for this project?*

Project description

Please provide a detailed description of the project for which you are applying. Include statement of needs, problems addressed, description of target population, and how program will benefit participants/recipients.

Description

Provide a description of project goals, measurable objectives, action plans and expected outcomes. Describe the plans for evaluation, including how success will be defined and measured.

Goals:

Partners and Collaborators List any other partners in the project, if any, and their roles.

Number of clients to be served

Geographic area served

Timeline List beginning and ending dates if this is a one-time project. If this is an ongoing project, what are your plans to continue funding? What is the deadline to receive the funds?

Administrative Costs:

Program Costs

Total Requested:

Click on the browse button to locate and upload the required document. The file will be uploaded when you click on Save as Draft or Submit Form.

501(c)(3) Determination Letter

Operating Budget

IRS 990 Form

List names, occupations and contact information.

Upload

By checking yes you are confirming that the CEO or Executive Director has reviewed and approves the submission of this grant application.*

Important! Grant Applications are currently closed. When opened again, only non-profit agencies in Central Florida and Suncoast Florida will be considered for 2021.