Community Grant Application
1. General Information
Organization Name:
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Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Email
*
example@example.com
Website (if applicable):
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2. Project Information
a. Project Title:
b. Project Overview: Provide an overview of your project's mission, goals, and objectives. Explain how the project aims to improve the mental well-being of people in the communities we serve.
c. Target Population: Describe the demographic or community you intend to serve with this project.
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3. Organization Information
a. Organization Mission: Briefly describe your organization's mission and values.
b. Organizational History: Provide a brief history of your organization, including its founding date and key milestones.
c. Organizational Capacity: Describe your organization's capacity to undertake and manage the proposed project. Highlight relevant experience, staff, and resources.
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4. Project Proposal
a. Project Plan: Detail the specific activities and strategies that your organization will implement to achieve the project goals. Include a timeline for project implementation.
b. Expected Outcomes: Describe the expected outcomes and impact of your project. Explain how you will measure the success of your project.
c. Budget: Provide a detailed budget for the project, specifying how the grant funds will be used. Include a breakdown of expenses, revenue sources (if any), and the requested grant amount.
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Additional Information
Please upload the following attachments: IRS 501(c)(3) determination letter (if applicable).
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Please include the following attachments: IRS 501(c)(3) determination letter (if applicable). Project budget detail. Any additional supporting documents (e.g., resumes of key staff, letters of support, etc.).
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Please attach your project budget:
*
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Contact Person
*
First Name
Last Name
Title
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Signature
*
By signing below, you acknowledge that all the information provided in this application is accurate and complete to the best of your knowledge.
Remember to review the grant guidelines provided by The Preventive Measures Foundation to ensure that your application aligns with our mission. Good luck with your grant application, and we hope your initiative successfully improves the mental well-being of those in need in your community.
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