Amount of Request::



COVID-19 RELIEF – Grants Program Opened March 26, 2020Following a disaster impacting Lafourche Parish, Terrebonne Parish, and Grand Isle, Bayou Community Foundation (BCF) may award grants to nonprofits located in this area for Short Term Disaster (“Emergency”) Assistance Programs and Long Term Response and Recovery Programs directly serving residents of Lafourche/Terrebonne/Grand Isle, dependent on funds available in BCF’s Bayou Recovery Fund. Once a Request for Proposals from BCF is issued, nonprofits should submit completed forms via email to ArmandJ@. PLEASE SAVE AND EMAIL THIS FORM IN PDF FORMAT.PART 1: GRANT REQUEST SUMMARYAmount of Request $Date of RequestProgram and/or Project to be Supported by Grant:PART 2: APPPLICANT INFORMATIONOrganization Name: Tax IDContact NameTitle: Mailing AddressCity:Zip: TelephoneEmail:PART 3: DISASTER IMPACTDescribe the disaster impact your agency plans to address and community needs that are unmet If applicable, identify any partnerships with other nonprofits or how your project coordinates with other local relief efforts.PART 4: PROJECT DESCRIPTIONBriefly describe the program and/or project for which funding will be used and anticipated number of residents or households served. The program/project must meet or support a disaster-related recovery need. B) Is this project presently in operation? FORMCHECKBOX Yes FORMCHECKBOX NoC) Anticipated start date: D) Anticipated completion date:PART 5: TOTAL COST OF PROGRAMA) Total estimated cost of program and/or project:B) Have other funding sources been identified? FORMCHECKBOX Yes FORMCHECKBOX No If yes, please list amounts, sources, and likelihood of support: PART 6: GRANT REQUEST BUDGET INCLUDE ESTIMATED BUDGET FOR REQUESTED GRANT IN THE SPACE AT RIGHT (IT WILL EXPAND AS NEEDED) – BE AS SPECIFIC AS POSSIBLE FORMTEXT Additional Attachments Required for submittal with grant application: (please submit as pdf’s)? IRS 501c3 determination letter (or equivalent for govt agencies)? current Form w9? list of current members of organization’s Officers and Board of Directors or governing authority (for govt agencies) ................
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