General Grant Application - SND Eastern Kentucky Foundation

1

Original Work Certification* This field is required.To ensure fairness and integrity in the review process, all essay responses must be your own original work and may not be generated, copied, or substantially assisted by artificial intelligence (AI) tools. By checking the box below, you confirm that all written responses in this application are your own original work and have not been generated or authored by AI.

I certify that all responses provided in this application are my own original work or that of my organization.

2

Full Legal Organization Name* This field is required.

3

Organization's Website Address* This field is required.

4

Physical Address of the Organization* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

5

Mailing Address of the OrganizationIf different than Physical Address

Street Address

Street Address Line 2

City

State

Zip Code

Country

6

Is this a 501(c)(3) Organization?* This field is required.

Yes

No

7

List your 501(c)(3) number.* This field is required.

8

How Long Has the Organization Been in Operation?* This field is required.

9

What is the Organization's Total Annual Budget?* This field is required.(Not the budget for this project)

10

Please Share the Organizational Mission Statement* This field is required.

0/300

11

Give a Brief Description of the Organization* This field is required.

0/300

12

What Population Is Served By the Organization?* This field is required.

0/500

13

Which Kentucky County or Counties are Served by the Organization?* This field is required.

14

Name of the Organization's President / Top Leader* This field is required.

First Name

Last Name

15

Top Leader's Title* This field is required.

16

Is the Top Leader's Role a Paid Position* This field is required.

YESNO

17

Top Leader's Phone Number* This field is required.

Please enter a valid phone number.

18

Top Leader's E-Mail Address* This field is required.

example@example.com

19

Name of the Primary Contact Person for this Application* This field is required.

First Name

Last Name

20

Primary Contact Person's Title or Role* This field is required.

21

Is the Primary Contact's Role a Paid Position* This field is required.

YESNO

22

Primary Contact Person's Phone Number* This field is required.

Please enter a valid phone number.

23

Primary Contact Person's E-Mail Address* This field is required.

example@example.com

24

What is the Total Number of Paid Employees?* This field is required.

25

Name of the Organization's Board Chairperson?* This field is required.

26

What is the Total Number of Board Members?* This field is required.

27

Name of the Project for Which You Are Requesting Funding* This field is required.

28

Which of the Foundation's Priorities Does This Project Address?* This field is required.Select all that apply

Health and Wellness

Education and Career Development

Quality of Life

29

Is this a New Project or an Existing Project* This field is required.

New Project - Not Yet Started

New Project - Started within the last 12 months

Continuing Project - Ongoing for more than 12 months

30

What is the Dollar Amount Being Requested?* This field is required.

31

What is the Total Project Budget?* This field is required.List the budget for this project only (not the entire organization's budget).

32

Approximately How Many Individuals Will Be Served By This Project?* This field is required.Include a timeframe in your response. For example: Per Month or Per Year

33

Give a Brief Explanation of the Purpose of the Project* This field is required.State the purpose in two or three sentences.

0/100

34

Give a Brief Description of How the Project Works* This field is required.State the operation practices in two or three sentences.

0/100

35

If Granted, How Will This Funding Be Used?* This field is required.State the specific uses in two or three sentences.

36

List Other Funding Sources That Contribute to the Total Project and the Amount They Contribute* This field is required.

37

If This Proposal Is Funded, What Impact Will It Have On Your Project?* This field is required.State the impact in two or three sentences.

0/100

38

How does this project align with the SND Eastern Kentucky Foundation's mission and priorities?* This field is required.State your alignment in two or three sentences.

0/60

39

What else would you like the SND EKY Foundation to know?* This field is required.

0/100

40

How did you learn about us?* This field is required.