2022 Grow Hope Grant Application

General Federation of Women's Clubs - Women's Club of South County

2022 GROW HOPE GRANTS APPLICATION

Please complete the application online and click Submit at the end. Your application is not complete until you send all required documentation to ghopegpc@gmail.com

Name and Title of Contact person

Email for Contact Person

example@example.com

Phone Number for Contact Person

Please enter a valid phone number.

DETAILED APPLICATION INFORMATION

1. Legal Name and address of Organization: (Name appearing on your IRS Tax exempt Determination Letter).

Name

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

2. Is the program you are applying for affiliated with or located in a house of worship or other faith-based organization?

No. Continue to question 3. Yes. The intent of this grant is to be non- sectarian. Please confirm your agreement to adhere to the stipulations noted below. IF YOU ARE UNABLE TO MEET THESE STIPULATIONS, we thank you for your interest, however your organization is not eligible to apply for funding. We agree that no participant in the program will be required to attend or be exposed to any spiritual or religious service in order to participate in the program. We agree that our program will be open to the general public and advertised as such.

3. Does your organization have a current 501(c3) status?

Yes. Continue to question 4. No. We thank you for your interest, however your organization is not eligible to apply for funding.

4. Federal Employer Identification Number of the organization: (SUBMIT a copy of 501(c)3 IRS tax certificate)

5. Rhode Island State ID number (SUBMIT a copy of RI non profit certificate or tax exemption letter)

6. SUBMIT a current 990 tax return (page 1 only), OR, if available, an audited income statement and balance sheet. If neither are available, please contact us at ghopegpc@gmail.com to discuss what might be readily available to be used instead.

7. Please list the names of the members on your Board of Directors.

8. What is the Mission Statement of your Organization?

9. Name of specific program for which funding is requested

10. Amount of Funding being requested

dollars

11. How many people does your organization serve each year?

12. How many full time employees do you have?

13. How many part time employees do you have?

14. How many volunteers do you have?

15. What type of services do your volunteers provide to your organization?

16. Which of our focus areas is being addressed through your application? If you are applying for more than one program or are seeking funding from more than one focus area, you must submit a separate, fully completed application for each.

Food Insecurity Mental Health Housing Domestic Violence

17. In 50 words or less, please provide: a detailed description of your grant request: i.e., the targeted population that will benefit, what specific program or purchase will this grant help support, clarify exactly how funds will be used. If available, please SUBMIT a program brochure.

18. Will this program provide a measurable benefit/impact for women and children in Washington County? If so, how?

19. Is your organization seeking and/or regularly receiving funding for this program from another source(s)?

Yes. Please submit additional documentation regarding other funding sources No

20. Is the organization a previous GROW HOPE GRANT recipient?

Yes No

21. If yes, What program(s) or activity(ies) were funded by Grow Hope Grants over the last 5 years?

22. How did you here about Grow Hope Grants? Check all that apply.

GFWC Website News/Media Other non-profit Family/friend Member of GFWC-WCSC (please provide name in other) Other

Your Organization's Authorized Signature

Clear

(Please print) Name

Title

Date

Name of person or program that should appear on grant check if different from above

IMPORTANT NOTE: ONLY FULLY COMPLETED APPLICATIONS WILL BE CONSIDERED.

To be considered complete, copies of the following documents must be submitted no later than Sept 15, 2022.

*IRS Section 501c3 tax exemption certificate

*State of RI tax exemption or non profit status letter

*Most recently filed Form 990 tax return page 1 only or Audit letter including associated balance sheet and income statements.

*Documentation of other funding sources for this program

Please scan and email all documents to ghopegpc@gmail.com.

Thank you for submitting an application.

Pat Cole & Carol Sugarman

GHG Chairs