Carefree Cave Creek Chamber of Commerce Community Grant Application Form

Carefree Cave Creek Chamber of Commerce Community Grant Application Form
BASIC DATA
Organization*

Legal NameDBA Name - If applicable
Full Name*

First NameLast Name
Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
CEO/President/GM/Executive Director NAME*

First NameLast Name
Application Contact Person*

First NameLast Name
Applicant Contact Email*
example@example.com
Geographic Area Served*
Estimated Number of People to be Served with this Project?*
PROGRAM NARRATIVE SECTION:
Briefly provide the background and history of your organization, including the number of full, and part-time staff, and volunteers.*
Describe how your services will promote and benefit the health, welfare, economic development, scholastic, and quality of life of the Carefree and Cave Creek Communities. Indicate if this is a new or existing activity.*
Describe the program, activity, initiative, or event and its location for which you are seeking funding.*
Does any community organization other than yours offer the type of services proposed under this program? If so, describe how your program will complement or enhance those efforts.*
What is the primary goal or objective of your project?*
Who is your target audience or demographic for this project?*
How will your project address the needs or interests of this audience?*
Outline the specific activities or initiatives you plan to undertake as part of this project.*
What are the timelines for implementation?*
How will you involve the community in the planning and execution of your project?*
Are there any partnerships or collaborations you have established to support the project?*
What are the expected outcomes or results of your project?*
How will you measure the success or impact of your project?*
Are there any long-term benefits or sustainability plans associated with your project?*
Have you or your organization undertaken similar projects in the past?*
If YES, please provide examples and outcomes
What potential challenges do you foresee in implementing this project?*
How do you plan to mitigate these challenges?
FINANCE/BUDGET SECTION:
Provide a list of the organization's income sources and amounts.*
Please provide your last annual year-end P&L Statement.*

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Provide a detailed budget breakdown for your project.

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How much funding are you requesting?*
List other financial donors, contributors, or in-king donations provided for this requested program.*
ADDTIONAL INFORMATION:
Is there any other relevant information you wish to provide in support of this request?
Upload any addition files to support your request.

If applicable
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I hereby certify that the information in this application is true and correct to the best of my knowledge.*

YesNo
Director/CEO Signature*

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Chairman of the Board Signature-if needed

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Date Submitted*

MonthDayYear
Date
Incomplete applications will be deemed ineligible. No notice of ineligibility will be provided. Please feel free to contact the Chamber regarding the status of your application after 4 weeks from the submission date at 480-488-3381 or via email at director@carefreecavecreek.org.
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Carefree Cave Creek Chamber of Commerce Community Grant Application Form

BASIC DATA

PROGRAM NARRATIVE SECTION:

FINANCE/BUDGET SECTION:

ADDTIONAL INFORMATION: