Grant Application -- Committee for People with Disabilities

GRANT APPLICATION FORM
Complete all sections of the application
Financial Distribution Guidelines

Purposes

The Hampton Mayor's Committee for People with Disabilities is organized and solemnly dedicated to assisting people with disabilities of the City of Hampton regardless ofrace, color or creed. In accordance with the philosophy, objectives and programs as follow:
1. Develop and conduct educational programs for the public; for professional personnel concerned with the treatment of people with disabilities, and for employers and others as a means of helping people with disabilities improve their lives physically, emotionally, intellectually and vocationally within the community.
2. Propose programs and services in health, welfare, education, recreation and employment which are necessary for the interest of people with disabilities in the city.
3. Cooperate and consult with other committee, agencies and organizations for appropriate activities involving people with disabilities.
4. Review and make recommendations to appropriate organizations concerning issues involving people with disabilities.
5. Undertake such special projects in the interest of people with disabilities as the Mayor may assign.
6. Represent the Office of the Mayor as appropriate.
7. Do anything necessary and proper to accomplish the purpose of the committee.
  The HMCFPWD’S is organized and operated exclusively for the above stated purposes, and no part of funds raised or appropriated to the HMCFPWD’S shall benefit any private member (Article Three – Constitution And By-Laws of The Hampton Mayor’s Committee for People with Disabilities)
Financial Requests

Funding Amount: The committee will distribute grants ranging in the amounts of $100.00 to $1,500.00, and are made on a one-time per fiscal year per individual basis and are non-renewable and non-transferable.

Geographic Area: The grants will be provided and distributed to serve residents of Hampton, Virginia.

Recipient Restrictions: Grants are made to individuals, agencies, and programs, who have documented disabilities and those serving people with disabilities.

Grant Considerations: The committee's philosophy and objective are to provide assistance to those who are serving / helping people with disabilities improve their lives physically, emotionally, intellectually and vocationally within the community.

Grant Application Process

Application: Those interested in submitting an application for a financial request should complete the application below or an application can be emailed or sent by U.S. mail at your request.

Acknowledgment: After submitting your request, you will receive an acknowledgment of receipt of your application by email or one will be sent to you in the US Mail. You will be contacted with a decision. A request for an update is not required.

Deadlines: Applications may be submitted beginning in January 2024. The applications will be accepted as follows:

Application due date: The 2-cycle deadline and award is due on:

September 30 – January 1 Winter Cycle

March 31 – July 1 Summer Cycle

Additional Information

Please note the committee members are volunteers with no paid staff, so we would appreciate it if you would keep your correspondence to a minimum. However, if you have crucial questions regarding the application process, you should send your message to mcfpwd@gmail.com.

Questions regarding the likelihood of funding will not be answered by an individual, as the HMCFPWD’S decision-making process is by a committee vote. Please be advised that there is no appeal process once a decision to distribute funds is made.

Updated 1/2024
APPLICATION FORM

Complete all sections of the application.

The committee's funds will be used towards helping people with disabilities achieve fuller and better lives and vocationally within the community. The committee provides funds for education, recreation, professional personnel concerns with the treatment of people with disabilities, for the betterment of the lives of people with disabilities.

NOTE: Grant funding is only available to verified 501(c)3 non-profit or non-stock corporations that are in good standing with the Virginia State Corporation Commission. Individuals may not apply for or receive grant funds from this committee.
Application deadlines are Sept. 30 (winter) and March 31 (summer)
Grant Beneficiary Information

Please fill out this section completely.
Beneficiary Organization's Name*
Enter the name of the organization seeking the grant.
Grant Beneficiary's Full Name

First NameMiddle NameLast Name
Beneficiary Organization's Mailing Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Home Phone Number*
Please enter a valid phone number.Format: 000-000-0000.
Cell Phone Number*
Please enter a valid phone number.Format: 000-000-0000.
Beneficiary's Email*
example@example.com
Contact Person
Contact's Name*

First NameMiddle NameLast NameSuffix
Contact's Phone Number*
Please enter a valid phone number.Format: 000-000-0000.
Contact's Email*
example@example.com
Mailing Address (may be same as organization)*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
1. Amount requested:*
2. How will the grant money be used?*

***Important*** List a specific item for which you are requesting funding. Provide detailed information regarding the cost of the item(s). The cost estimates from possible sources must be included with this application.0/250
3. This grant is for a person with a disability and lives in the city of Hampton, VA. Provide information regarding the type of disability, age, work or school status, interest and hobbies.
4. What is the purpose of the request? *
Supporting information from people who work with the applicant would be appropriate. For example: If you are requesting assistance for a particular program, or equipment to perform a specific job, a letter from a professional working with the individual is helpful.
Upload Relevant Files

Cancelof
Supporting documentation can also be emailed to mcfpwd@gmail.com.
Please check here if you will be emailing documentation.
5. List sources from which you have requested funding. List agency names and contact information (if applicable). (Click "save" button after entering each source.)*
I affirm that the information in this form is true and accurate according to my knowledge.
Applicant's Name*

First NameMiddle NameLast Name
Date of Submission*

MonthDayYear
Name

First NameLast Name
Should be Empty:

GRANT APPLICATION FORM

Complete all sections of the application

Financial Distribution Guidelines

Grant Application Process

APPLICATION FORM

Application deadlines are Sept. 30 (winter) and March 31 (summer)

Grant Beneficiary Information

Contact Person