First 5 Lake Mini Grant Application 2026-27

First 5 Lake Mini Grant Application

Fiscal Year 2026-2027
Please review the Request for Proposal and the Grants criteria before filling out this application.
Name of Agency/Organization
Primary Contact

First NameLast Name
Title/Position
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Secondary Contact

First NameLast Name
Title/Position
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Agency Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Fiscal Agency (if different from applying agency)
Type of Agency (select one)

Other

Program Narrative
Name of Proposed Program/Service
Project Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Project End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Total Amount Requested
Grants will be awarded for a minimum of $500 and a maximum of $5,000 per year for a period ending June 30, 2026
Please provide a 2-3 sentence summary of your project and its purpose. Identify at least one result that you expect to achieve.
Targeted Outcomes
Identify the one Strategic Plan objective your project is designed to advance. Using the priority tables in the RFP, write in the priority area, objective, result area, strategy, and F5L outcome that best fit your project.
You may add an optional second objective. Please note that selecting more objectives does not strengthen your application; reviewers score on clarity and fit, not breadth.
Describe your funding request in detail. Describe the strategies or practices that will be used to fulfill the objective(s) and advance the First 5 Lake Strategic Plan outcome you selected above.
Describe how your proposed strategy or project is evidence-based, evidence-informed, promising practice, or a new innovation.
Describe specifically who your project will serve (focus population).
Individuals estimated to be served:
Children 0-2
Children 3-5
Parents/Guardians of Children 0-5
Providers
Describe your organization's capacity to implement the proposed project. Please identify how you will bring the project to fruition in the event of staff changes.
Describe how your request will benefit pregnant women, children ages 0-5, their families, or providers working with children 0-5.
Describe exisiting partnerships that would directly or indirectly strengthen the proposed effort.
Describe what you will accomplish and how you will know if you have been successful. Discuss the monitoring and control function(s) that will be used to ensure model fidelity and program integrity in day-to-day activities, and identify the staff assigned to these responsibilities.
Project Logic Model
Sample Project Goal: “Storytime Roots” – a six-week bilingual early-literacy series for caregivers and children ages 0 to 5.
Project Goal: One to two sentences describing your project's overarching goal.
Sample Logic Model
Logic Model

Budget Narrative

Please provide a thorough narrative explanation for your proposed budget.
Provide a thorough narrative explanation of your proposed budget. Include a breakdown of what is included in each line item and how each amount supports the proposed Scope of Work. (Complete the separate Budget spreadsheet as well.)
Describe the fiscal management experience of the fiscal agency and discuss the fiscal controls that will be used for this project.
Provide a brief description of the fiscal agency's accounting system.
If a collaborative proposal, describe how all partner(s) expenditures will be monitored and verified.
Describe your agency's experience in sustaining grant-funded programs for children and families.
Upload Budget Spreadsheet

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Signed Tobacco, Alcohol, and Drug Policy

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Signed Health Beverages Policy

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Signed Non-Supplantation Policy

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Letters of Commitment from Key Partners, if applicable

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Certification

I certify that the information in this application is accurate and that I am authorized to submit it on behalf of the applicant organization.
Name of Authorized Signer

First NameLast Name
Authorize Signature
Should be Empty:

First 5 Lake Mini Grant Application

Please review the Request for Proposal and the Grants criteria before filling out this application.

Program Narrative

Targeted Outcomes

Individuals estimated to be served:

Project Logic Model

Budget Narrative

Certification