Greater Everett Community Foundation GRANT APPLICATION …
2017 GRANT APPLICATION FORM
Organizational Information
Organization: Date:
Mailing Address: City: State: Zip:
Contact Name: Title:
Email: Phone: Fax:
Website: __________________________________________________ Tax ID # ____________________________
# Full Time Staff _________ # Part Time Staff _________ # Volunteers __________
Mission of organization: _________________________________________________________________________________
Project Information
Project Name:
Project Timeline: Total Project Cost: Amount of this Request:
Grant funds will be used for: ____________________________________________________________________________
Number of people served by project: Project cost per person served:
Project Service area (geographic): ________________________________________________________________________
Target Population: ____________________________________________________________________________________
I certify that the above information is correct and that I am authorized by the Board of Directors of this organization to submit this grant application. (Application must be signed by the President or Executive Director)
____________________________ ____________________________ __________________________ ________
Signature Print Name Title Date
Enclosed (three pages total)
ρ Completed Grant Application Form. (no cover letters, please).
ρ One additional page of narrative with the following information:
• A brief description of your project (100 words or less) including project goals.
• Specific community need that the project meets and expected impact
• Other organizations and partners participating in this project.
• Who else is doing this work in our community and how is your project different?
• How will you evaluate whether or not this program has been successful?
ρ Detailed project budget, including funds and revenue secured to date.
Please email your grant application as an attachment (PDF or Word document) to elizabeth@cf- Grants can also be mailed to the Community Foundation of Snohomish County, 2823 Rockefeller Avenue, Everett, WA 98201 or delivered to our office (mail slot in door).
All grants must reach us no later than 4 p.m. on the date of the deadline.
Received: ______________________________ Grant #: ________________________ Amount Awarded: $ _____________________
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