Sturgis Youth Advisory Council
SPRING GRANT APPLICATION
Date of Application
*
-
Month
-
Day
Year
Date
Name of school or organization:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Program Advisor
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Back
Next
Project Information
Program or project name
*
Amount of funds requested
*
Describe how the funds will be used if the grant is approved. Please be specific.
*
Is there youth involvement in the planning or implementation of this project?
*
Yes
No
Youth Served
*
Grade Levels
Age Group
Number Served
Which of the following issues does your application plan to address?
*
Drug Abuse
Alcohol Abuse
Teen Sexuality Issues
Bullying/Racism/Harrassment
Sexual Violence/Assault
Tobacco Use
Other
Are there other financial resources available for this project?
*
Yes
No
Please provide deatils about other available financial resources for this project.
Does your organization have tax-exempt status under section 501c3 or the Internal Revenue Code?
*
Yes
No
Letter of Exemption
Please upload a copy of your organization's IRS Letter of Exemption.
Back
Next
Project Professional References
Please provide contact information for two professionals familiar with the work of your organization.
Name
*
First Name
Last Name
Title
*
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Name
*
First Name
Last Name
Title
*
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Back
Next
Publicity Agreement and Interview Information
Do you agree to mention the Sturgis Area Community Foundation and the Sturgis Youth Advisory Council in all news releases, publications, etc. when appropriate?
*
Yes
Please list the names and telphone umbers of the person(s) who will attend a scheduled interview with the Youth Advisory Council.
*
Submit
Should be Empty: