CECPTA Grant Application

CECPTA Grant Application

Carrollton Early Childhood PTA Preschool Education Program
Name of Organization *
Is the organization Registered IRS 501 (c) (3) Nonprofit? *
If Yes to above , please provide Your IRS 501 (c) (3) Number
Legal Name (as designated on 501c3, if different from above) *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Please include with this application, a copy your organization's Financial Statement and copy of your most recent Annual Report.
Company Web Page:
Contact E-mail *
Contact Phone number *

Area Code Phone Number
Contact Address *

Street Address

Street Address Line 2

City State

Zip Code
Executive Director Name *

First Name Last Name
Current Board President

First Name Last Name
Your Name *

First Name Last Name

CECPTA Grant Application

Carrollton Early Childhood PTA Preschool Education Program
Please state the mission/goals of your organization. *
Describe your current programs, activities, service statistics – highlighting the past year – and cite how your programs fulfill the mission. Identify three of your organization’s greatest successes; what are your challenges?
Name of the Proposal: *
Is this a New or Existing Proposal? *
Proposed Project's Start Date *

Month Day Year
Proposed Project's End Date *

Month Day Year
Total Funds required to complete proposal. *
Amount Requested from CECPTA. *
Please describe the scope of this proposal. *
List the proposal’s target population, constituents, and geographic communities.. *
Describe your plan of action including the methods you will use to evaluate this proposed project. *
Describe the capabilities of your agency to conduct the project and note special staff qualifications.
What are the challenges you anticipate during this program/project? *
Do you intend to co-operate with other agencies or non-profit organizations on this specific project? If not, why not? *
How will this project be funded in the future? *
What specific items would be covered by a grant from CECPTA? *
How do you propose to recognize a grant from CECPTA? *
List grant requests submitted to the CECPTA and grants received from CECPTA during the past (include date, amount and purpose). *
Summarize the proposal, using around three sentences, and why your organization needs these funds. *

Grant Project Budget

Details
Cost of Materials *
Salaries/benefits *
Professional fees/honoraria *
Other costs *
Total Project Expenditures *
What is your “Time Frame” to obtain the funding required? *
Please specify Number and Months or Years.
Project Funding

Details
Total Project funding *
CECPTA Funding *
Number of Other Funding Partners
Please list Partner Name, contact details and funding details?

Grant Application Submit

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The information provided by applicants in this form shall not be shared to anyone else other than the applicants organization and contacts and directors , commitee members and other participants in CECPTA. Public information will only be released if the grant application has been accepted and agreed to fund by CECPTA.
Project Documents & Finance Material

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I agree that the information herein are true and correct *

Yes
Date & Time of application.

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CECPTA Grant Application

CECPTA Grant Application

Grant Project Budget

Project Funding

Grant Application Submit