DFF Grant Application

The Tim and Tina Delaney Family Foundation Grant Application

Please fill out the following questions as accurately and as thoroughly as possible in the space provided.
Are you a registered Charity ?*
Legal name of organization applying (should be the same as on the IRS Determination letter):*
Organization Website*
Contact E-mail*
example@example.com
Contact Phone number

Area CodePhone Number
Contact Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Executive Director Name*

First NameLast NameSuffix
Your Name*

First NameLast NameSuffix
Number of Full Time Employees
Number of Part Time Employees
Number of Volunteers
Please state the mission/goals of your organization*
Date Organization was founded:

MonthDayYear
Date
Current Annual Operating Budget?

Tim and Tina Delaney Family Foundation Grant Application

Project Details
Name of the Project:*
Is this a New or Existing Projects*
What is the Geographic Area Served of the Project?*
Project Start Date

MonthDayYear
Project End Date

MonthDayYear
Total Funds required to complete project.*
Amount Requested from the Tim and Tina Delaney Family Foundation.*
Please describe the scope of this project.*
Who will benefit from this project?
Describe your plan of action including the methods you will use to evaluate this project.
Describe the capabilities of your agency to conduct the project and note special staff qualifications.
Do you intend to co-operate with other agencies or non-profit organizations on this specific project? If yes, please provide information?
Please identify other organizations, partners or funders participating in the project and their roles.
What specific items would be covered by a grant from the Tim and Tina Delaney Family Foundation?
How do you propose to recognize a grant from the Tim and Tina Delaney Family Foundation?
List grant requests submitted to the Tim and Tina Delaney Family Foundation and grants received from the Foundation during the past five years (include date, amount and purpose).

Tim and Tina Delaney Family Foundation Grant Application Project Budget

Details
Cost of Materials
Salaries/benefits
Professional fees/honoraria
Other costs
Total Project Expenditures
What is your “Time Frame” to obtain the funding required?
Please specify Number and Months or Years.
Grant Application Submit

Submit my Application
The information provided by applicants in this form shall not be shared to anyone else other than the applicants organization and contacts and directors , commitee members and other participants in the Grand Bend Community Foundation. Public information will only be released if the grant application has been accepted and and agreed to fund by the Grand Bend Community Foundation.
Project Documents & Finance Material

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I agree that the information herein are true and correct*

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Tim and Tina Delaney Family Foundation Grant Application