LITTLE HAITI REVITALIZATION TRUST
Community Education Placemaking Grant Program
Grant Application
Maximum Award: Up to $5,000
Funding may not exceed 50% of total program budget
SECTION 1: APPLICANT INFORMATION
Organization Name:
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Address:
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City, State, Zip:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Contact Name:
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Title:
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Phone:
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Format: (000) 000-0000.
Email:
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example@example.com
Website (if applicable):
Organizational Structure:
Is your organization registered and active with the Florida Division of Corporations (Sunbiz)?
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Yes
No
Is your organization recognized as tax-exempt by the IRS (e.g., 501(c)(3))?
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Yes (If yes, please provide your EIN:
No
EIN:
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Year Established:
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Please indicate the number of years your organization has provided educational or community-based programming related to the activity proposed in this application.
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LITTLE HAITIREVITALIZATION TRUST
SECTION 2: ELIGIBILITY CONFIRMATION
Please initial each statement:
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Our organization has at least one (1) year of demonstrated experience delivering educational or community-based programming.
Our organization is in good standing and has not had its registration, license, or authority denied, suspended, or revoked by any governmental agency.
The proposed program will take place within the Little Haiti Boundaries.
The proposed program consists of a minimum of three (3) educational sessions.
The program will be free and open to the public (no fees, donations, or required payments).
CERTIFICATION ON BEHALF OF APPLICANT BUSINESS/ORGANIZATION
I certify that the information provided to determine my eligibility for assistance on this application is true and correct to the best of my knowledge. I, the applicant, further understand that any false information provided in connection with this application may be grounds for having to pay back the funds provided back to the Little Haiti Revitalization Trust.
In submitting this application, the Company agrees with all the terms, conditions, and specifications required by the Little Haiti Revitalization Trust in this grant application, and that applicant Company has this document and fully understand its contents.
I understand that this assistance is contingent upon the availability of funds and that the assistance is limited to payment of business expenditures
Signature of Applicant
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Print Name
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Date
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Month
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Day
Year
Date
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LITTLE HAITI
REVITALIZATION TRUST
SECTION 3: ORGANIZATIONAL BACKGROUND
1. Provide a brief description of your organization, including mission and history.
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2. Describe your experience delivering similar educational or placemaking-focused programs.
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3. Provide examples of past programs including, a syllabus (agenda), class roster and outcomes.
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SECTION 4: COMMUNITY NEED
1. What specific community needs does this program address?
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LITTLE HAITIREVITALIZATION TRUST
2. Please describe how your proposed program aligns with the Little Haiti Revitalization Trust's mission and objectives. Specifically, explain how the program will positively impact the Little Haiti community, contribute to neighborhood revitalization.
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3. How does this program support placemaking (economic development, cultural preservation, small business support, beautification, etc.)?
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SECTION 5: PROGRAM DESCRIPTION
Program Name:
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Program Location/Address:
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Program Overview (Provide a detailed overview of the educational series.):
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LITTLE HAITIREVITALIZATION TRUST
Session Breakdown (Minimum of 3 Sessions Required)
Session Topic(s):
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Description:
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Location(s):
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Session Dates:
Session #1
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Session #4
Session #2
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Session #5
Session #3
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Session #6
Target Audience(s):
Target Audience(s):
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Residents
Entrepreneurs
Artists
Small Businesses
Community Stakeholders
Other
Estimated Number of Participants Per Session:
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Please describe your marketing and outreach strategy for this program. How will you ensure that Little Haiti residents are aware of, able to access, and encouraged to participate in the program?
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LITTLE HAITI REVITALIZATION TRUST
Please describe how you will collaborate with and engage the Little Haiti Revitalization Trust (LHRT) throughout the planning, implementation, and promotion of your proposed program.
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SECTION 6: ALIGNMENT WITH LHRT PRIORITIES
Please check all that apply:
Please check all that apply:
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Economic Development
Cultural Preservation
Small Business Development
Community Education
Beautification
Neighborhood Revitalization
Explain how your program aligns with the selected priorities:
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SECTION 7: BUDGET (Please attach detailed budget.)
Total Program Budget:
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Amount Requested from LHRT (Max $5,000):
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(LHRT funding may not exceed 50% of total program budget)
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LITTLE HAITIREVITALIZATION TRUST
Other Confirmed or Anticipated Funding Sources:
Source
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Amount $
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Source
Amount $
Source
Amount $
SECTION 8: CERTIFICATION
I certify that all information provided is accurate and complete.
Name (please print):
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Title:
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Signature:
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Date:
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Month
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Day
Year
Date
APPLICANT SUBMISSION CHECKLIST
Community Education Placemaking Grant Program
Before submitting, please ensure your application includes:
Required Documents
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Completed and signed Application Form
Organizational background and mission statement
Proof of at least one (1) year of programming experience
Detailed program description (minimum 3 sessions)
Session schedule and timeline
Detailed budget (LHRT request not exceeding $5,000 and not exceeding 50% of total project budget)
Documentation of other funding sources
Proof program will take place within Little Haiti Boundaries
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Upload Proof of at least one (1) year of programming experience
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Upload detailed program description (minimum 3 sessions)
*
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Upload Session schedule and timeline
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Upload Detailed budget
*
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Upload funding sources
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Upload Proof program will take place within Little Haiti Boundaries
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LITTLE HAITI
REVITALIZATION TRUST
**Important Reminders**
Program must be free and open to the public
No registration or participation fees allowed
All funded programs must occur within the official Little Haiti Boundaries. Applicants must demonstrate site access or control for the proposed program location.
If the program will take place at the Little Haiti Cultural Complex (LHCC), applicants must provide a copy of the facility invoice, reservation confirmation, or executed agreement.
If the program will take place at another location within the Little Haiti Boundaries, applicants must provide documentation evidencing site control, such as a lease agreement, facility use agreement, or a signed letter from the property owner or authorized representative confirming permission to use the space.
LHRT funding may cover up to 50% of total program cost
Incomplete applications may not be reviewed
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LITTLE HAITIREVITALIZATION TRUST
Little Haiti Map
Are you within the Little Haiti boundaries?
Click interactive map to find out below
Little Haiti is defined as the area beginning at the intersection of NE 54th Street and NE 4th Avenue, extending west to Interstate I-95, north along I-95 to the city boundary, east toward North Miami Avenue and the Little River, then following the Little River east to NE 2nd Avenue. The boundary continues south along NE 2nd Avenue, around Little Haiti Park, and returns south along NE 4th Avenue back to the starting point at NE 54th Street.
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