Service Club Grant Application
Application below reflects a shared grant application for the service clubs participating in the Service Club Alliance. Please note that service clubs will be reviewing applications based on their individual areas of priority. For information about each service club, please visit https://www.midlandfoundation.org/initiative/sca/ . If you have questions, please contact Director of Community Impact, Alysia Christy at 989-839-9661 or via email at achristy@midlandfoundation.org
Service clubs participating in the Service Club Alliance are listed below:
Kiwassee Kiwanis Club
Kiwassee Kiwanis Foundation
Kiwanis Club of Midland & Midland Kiwanis Foundation
Midland Civitan Club
Midland Noon Exchange Club
Midland Lions Club and Charities
Midland Noon Rotary Club
Midland Rotary Foundation
Rotary Club of Midland Morning
Zonta Club
In order to ensure the correct service club(s) review your request, please indicate which priority areas below your organization supports. Please check all that apply.
Active military or veteran programs
Community service
Disadvantaged youth
Early childhood development
Economic development
Education
Environment
Family
Food and nutrition
Health
Inclusion efforts
Individuals with disabilities
Prevention of child abuse
Vision and eyesight needs
Women's equity and empowerment
Youth (birth - 18 years)
Organization Information
Organization Name
*
Legal name of organization applying (identifical to name on IRS Tax Determinatation letter)
Common Organization Name (if different from legal name)
Organization Employer Identification Number (EIN)
*
a Federal nine-digit tax ID number that IRS assigns to nonprofits
Is your organization a 501c3 nonprofit?
*
Yes
No
Organization Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is above address the organization's mailing address?
*
Yes
No
If no, indicate mailing address below
Organization Contact Person for Request
*
First Name
Last Name
Contact Person Phone Number
*
for contact person
Contact Person Email
*
example@example.com
Organization Mission and Vision
*
Identify which one of the four Focus Areas your organization supports within the community (for more information on each Focus Areas please visit: midlandcountydashboard.org)
*
Building Our Livelihood (economic development and infrastructure)
Developing Our Talent (education; early childhood thru postsecondary)
Caring For Our People (health, human services, poverty, housing, and public safety)
Enriching Our Community (arts, culture, entertainment, recreation, and environment)
Grant Request Information
Grant Request Title
*
Grant Request Amount
*
Indicate date funds are needed
-
Month
-
Day
Year
When must you have these funds in your possession?
Provide a summary of the grant request
*
Please be sure to include documentation of need for project, whether this is a new or ongoing project for your organization/community, and whether there are any similar programs that exist in the community.
Have you pursued other funding opportunities? If so, please provide all applicable information (Organizations, amounts, etc.)
*
Indicate additional details related to the impact of the grant request
*
Indicate expected impact of request. Provide details on who will benefit, how many people will benefit, and what demographic/population this request will target.
Provide a timeline for your specific project/program request
*
Include planning, implementation, and completion details of grant request project/program.
Describe collaborative efforts
*
If you are collaborating with other organizations, indicate which ones and describe your efforts.
If this is an ongoing project, indicate how the work will be sustained
Indicate how you will measure the success of your project
*
Describe when and how you will measure the success of your project.
If awarded partial funding for your request, indicate how the project will (or will not) proceed forward with implementation
*
Upload total budget for project
*
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Upload any additional attachments that would be helpful for grant request review
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Examples may include letters of support, flyers, marketing information, list of board members, etc.
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Upload the organization's Form 990 or IRS Determination Letter
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Indicate whether this request has an ability to engage community volunteers
yes
no
If yes, please indicate opportunities below
If grant funds are awarded, indicate the contact person within the organization that should be listed as "attention to" with payment.
If applicable, include the name of the service club sponsor for the above request
Club sponsors are required to be considered by the Midland Rotary Foundation. Service club sponsors are required to review application.
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