2023 Gwinn Area Community Fund Fall Grant Application
Please fill out the grant application with appropriate information regarding your grant request from the Gwinn Area Community Fund. This grant request should be to provide support for an organization/project/program that benefits the Gwinn Area Community/Southern Marquette Community. Priority will be given to projects that impact local communities and populations with the greatest need.
Contact Information
Please fill out with your or your organizations information
Name:
*
First Name
Last Name
Title:
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization Information
Organization Name:
*
Ex: Gwinn Schools
Suborganization Name (if applicable):
Ex: High School English Class
Organization Type:
*
501c3 nonprofit organization
Church
School
Municipality
Service Club
Other
CEO/Executive Director/President:
*
Number of Paid Employees:
*
Ex: 2.5 employees
Operational Budget:
*
Mission Statement:
*
Website:
Brief Project Information
Please describe the request in one sentence:
*
0/50
Number of people impacted by project:
*
Project Start Date
*
-
Month
-
Day
Year
Date
Project End Date
*
-
Month
-
Day
Year
Date
Geographical Area Served: (select all that apply)
*
Ewing Township
Forsyth Township
Sands Township
Skandia Township
Turin Township
Wells Township
West Branch Township
Project Field of Interest: (only select one)
*
Animals
Arts, Culture and Music
Community Improvement
Education
Food, Nutrition and Agriculture
Health
Housing and Shelter
Human Services
Recreation or Environmental
Other
If Other, please describe:
Demographic served: (select all that apply)
*
Youth 0-18
Adults 18-65
Seniors 65+
Low-Income
Underserved/At-Risk
Disabled
Veteran
Other
If Other, please describe:
Project Funding
Please fill out the information below regarding funding for your project.
Amount Requested:
*
Please round to the nearest 100
Total Project Cost:
*
Other Funding Sources:
Ex: $1,500 in business donations and $2,000 from organizations operational budget
Would you still be able to provide this program/project if your request wasn't fully funded?
*
Yes
No
Type of Request:
*
New Program/Project
Ongoing support to current program/project
Ongoing operational support
Other
Please provide any project budget comments below, if applicable:
Project Description
Please provide the following information regarding your grant request
Request Summary/Overall Description:
*
0/250
Please explain your action plan/project objectives and how you plan to achieve them:
*
0/200
How will you evaluate the proposed outcomes of our project, including how success will be defined and measured:
*
0/200
Please provide any supporting documents (not required):
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