2024 Grant Request Form
Please compile requested information and submit by 12pm
on September 6, 2024.
SECTION I: KING COUNTY REQUIREMENT
A. PYP grants exclusively serve King County residents. Please describe how a PYP grant to the nonprofit organization will be used only in King County and/or only by King County residents.
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SECTION II: ORGANIZATION BACKGROUND AND GRANT CHAMPION INVOLVEMENT
A. Provide the organization’s name, address, and website URL.
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B. Provide the name(s), title(s), and email(s) of the key contact(s) at the organization. These are the people who will assist with pitch development and who will be present for at least one follow-up session.
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C. Provide a one-paragraph (maximum 250-word) description of the organization and program or project, if applicable. This paragraph should be pre-approved by the organization. Note that this paragraph will be used in PYP marketing materials, in PYP communications, and in voting for the top three organizations to move forward in the grant cycle should more than three Grant Request Forms be submitted.
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D. Describe the organization's values, mission, and history. Elaborate on the need the organization seeks to address.
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E. Describe how the organization promotes diversity, equity, and inclusion within the community it serves, including but not limited to people who have been historically marginalized and traditionally underrepresented. How does the organization promote its DEI values internally and within its leadership? Examples include, but are not limited to, the composition of its Board of Directors and staff.
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F. Provide the name(s) of the Grant Champion(s) and a description of her (their) connection to the organization, including past and/or current involvement.
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G. Email address of the PYP member who is submitting this grant request (a copy of this request will be sent to this email address once submitted).
Signature of PYP member who is submitting this grant request. By signing below, you are indicating that: 1) all statements provided in this grant request form are true to the best of your knowledge, and 2) the nonprofit's key contacts (listed in II.B above) have seen this request and agree to its contents.
SECTION III: ATTACHMENTS
A. Please attach a budget from the last fiscal year including actual income and expenditures.
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B. Please attach a current operating budget (and project budget, if applicable).
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C. Please attach a copy of the organization's IRS 501(c)(3) determination letter.
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D. Please attach the organization's logo (in jpeg format).
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E. Please attach any additional files that support your request (optional).
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