Allegany-Cattaraugus-Chautauqua Fund For Women Administered by the Cattaraugus Region Community Foundation

Allegany-Cattaraugus-Chautauqua Fund For Women

Administered by the Cattaraugus Region Community Foundation; email: info@accffw.org
Welcome to the Allegany-Cattaraugus-Chautauqua Fund for Women grant application!

The Fund for Women exists to invest in the lives of women in our communities in order to promote sustained self-sufficiency. The goals of the Fund for Women are:
- To establish an endowed fund that will support the vision and mission of ACC FFW.
- To award grants, on an annual basis, in direct proportion to our endowment, through a thorough review of applications.
- To promote philanthropy by and for women.
What can an ACC FFW individual grant do for you?

Since one goal of the ACC FFW is to provide individual grants to women who seek long-term self-improvement, we are inviting women living in Allegany, Cattaraugus, or Chautauqua County to apply for financial support.

Grants are awarded based on demonstration of financial need and an explanation on how the money will be used. The amount awarded may vary from year-to-year, based on number of applications and funds available, but will not be less than $200.

We thank you for your interest in the Allegany-Cattaraugus-Chautauqua Fund for Women. Please email info@accffw.org if you have questions about the grant or the application process. If answering this application in writing, online is not possible, please email us to schedule a virtual video or telephone interview: info@accffw.org. Applications are being accepted 2/1/21 - 3/15/21. Anticipated grant notification date is on or around 4/30/21.

Melissa Jusianiec

Selection Sub-Committee Chair

Allegany-Cattaraugus-Chautauqua Fund For Women

Administered by the Cattaraugus Region Community Foundation; email: info@accffw.org
APPLICATION FOR AN INDIVIDUAL GRANT

Personal Information (required)
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
In which New York State County do you live? (note: grants available to residents of Allegany, Cattaraugus, Chautauqua counties in NYS)
County
Phone Number *

Area Code Phone Number
Email *
example@example.com
Are you 18 years or older? *

Yes No
How did you hear about the ACC FFW grant?

Newspaper article Friend or family member Teacher / someone at school Social service agency

Allegany-Cattaraugus-Chautauqua Fund For Women

Administered by the Cattaraugus Region Community Foundation; email: info@accffw.org
Please click here to view a short instructional video on how to complete the application. ACC FFW Grant App Video
APPLICATION FOR AN INDIVIDUAL GRANT

Statement of Goals (required)
What goal(s) will this grant help you accomplish? *
What is the short-term hurdle you are seeking to overcome? *
Specifically, how will you use the grant money to further your goals? *
Providing a budget for your project is expected. An example budget can be found here: https://tinyurl.com/tg5k7zf. If your goals are also financed with other sources (personal or other funds), please list the sources and how they will be used. As a reminder, you may watch an instructional video here: ACC FFW Grant App Video

Note: funds may not be used for basic living expenses. If you are selected to receive an award, ACC FFW will require that you provide receipts for purchases made with your ACC FFW individual grant.

Use form below for your budget, or attach a copy of your budget. If you have questions about developing your budget, please email info@accffw.org and we will connect you with a professional who will give you advice on developing your budget.
Please initial here to acknowledge you have reviewed the sample budget and will be including a budget with your application. As a reminder, if you need help with your budget, please email info@accffw.org.
Applicant Initials

Budget - Expenses (if you need more rows for your budget, please email info@accffw.org or attach a budget instead)

Item Description

Anticipated Expense

Expense 1

Expense 2

Expense 3

Expense 4

Expense 5

TOTAL EXPENSES

Budget - Funding

Item Description

Anticipated Funding

ACC FFW Grant

Funding source 2

Funding source 3

Funding source 4

Funding source 5

TOTAL FUNDING

If you do not wish to use the form above for your budget, please upload and submit your budget here.

Browse Files

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What is the timeline for your project? *
Please provide any additional information about you that you think will help us get to you know and your aspirations better, as examples: volunteer experience, activities you have participated in, leadership roles & responsibilities, awards, honors or special recognition you may have received, challenges you have overcome, etc.

Allegany-Cattaraugus-Chautauqua Fund For Women

Administered by the Cattaraugus Region Community Foundation; email: info@accffw.org
APPLICATION FOR AN INDIVIDUAL GRANT (cont.)
What is your total annual household income (before taxes)? *
HH Income before taxes
How many individuals, including you, live in your household? *
# of individuals in HH
Please attach a copy of your resume (if available).

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References (required)

Please provide names and contact information for two (2) references (professional or personal [non-family members]) who have known you for at least five (5) years.
First Reference Name *

First Name Last Name
First Reference Phone *

Area Code Phone Number
First Reference Email *
example@example.com
Second Reference Name *

First Name Last Name
Second Reference Phone *

Area Code Phone Number
Second Reference Email *
example@example.com
Certification (required)
All the information that I am providing is true and correct. I understand that the entire ACC FFW Committee will review this information and may ask for proof or confirmation of statements I’ve made. I understand that providing false or misleading information may mean that any grant I am awarded could be taken away. *

Click to acknowledge certification
Electronic Signature *

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