Strengthening Community Support of Older Vermonters Grant Application
Grant applications are due to CVCOA by April 1, 2022. Grants will be awarded by May 1, 2022. Contact: For further information, contact Jeanne Kern at jkern@cvcoa.org or (802) 476-2671, or visit the Grants page www.cvoca.org.
Date of Submission
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Year
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Name of Organization:
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Organization Address:
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Contact Person - Name and Phone:
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Contact Person Email:
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Mission and Purpose of your Organization:
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501(c)(3) Status or Name of Fiscal Agent:
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Amount of Grant Funds Requested:
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Target outcome: Briefly describe what your program or project will achieve. How many older Central Vermonters will be served?
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How will this grant will be used? Provide a detailed description of the program or purpose of the grant and how the funds will support older Vermonters with the greatest social and economic need in our service area.
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How will this program/project help to build a greater capacity in the network of services serving older Vermonters in their homes and communities?
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Describe your organization’s ability to implement this program or project.
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Describe your ability to provide data, quality results/outcomes, and financial details.
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Provide a budget showing the breakdown of the total cost of the program or project for which this grant will be used. Please indicate if you plan to address this question via file upload below.
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Have you emailed a copy of your organization’s last 990; or annual tax return if 990 is not available; or the last year-end Profit/Loss Statement and Balance Sheet? This is a requirement for consideration. Send to jkern@cvcoa.org, or upload as an attachment to this form.
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