L.L. Foundation for Youth grant application

Project Detail
Describe the objectives of the project or program to be funded. *

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How will the money be used? *
Provide project description
How many adolescents, youth or young adults does the project/program serve? *
Describe the implementation plan for the project or program. Include three specific actions your organization will take in order to achieve results. *

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Collaboration
What criteria does (or will) your organization use to measure the success of the project or program? *

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Background
If this grant request relates to an ongoing project or program, how long has the project or program been operating? Limited to 1,000 characters. *

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Project Start Date *

MonthDayYear
Project End Date *

MonthDayYear
Timeline (Optional)
Provide any other relevant dates relating to the project or program for which grant funds would be used (milestones, interim check-ins, etc). Limited to 1,000 characters. *

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Project/Program Finances
Project/Program (Annual) Budget Total in U.S. Dollars *
Project/Program (Annual) Budget Detail - Provide a concise budget for the project listing major expense categories*

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Other Project/Program Funding - List other sources that are funding or may fund this project/program. Include other grant requests, providing entity name, amount requested, and current status of each. If these sources do not fully fund the project/program, what other sources of funding will your organization pursue? If an extensive list, please provide top 1-5 funders or top 1-5 most likely funders. *

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Organization Details
Organization Type (choose one) *
Mission Statement or Brief Summary of Mission Statement - Briefly summarize your organization's current mission. *

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How many people benefit annually from the work you are doing? *

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How are you connected to adolescents, youth, and young adults? How is your organization strategically placed to best serve this demographic? (General operating grants only)*

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Organization Finances
Current Fiscal Year Finances
Total Annual Operating Budget *
Organization Budget Detail - Provide a brief budget for your current fiscal year that breaks down the above overall total by category. (Suggested categories: program services, salaries, fundraising, capital improvements, equipment, recruiting, etc.). One budget item per line.

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What percentage of your organizational budget is allocated to program expenses? *
Prior Fiscal Year Finances (WAIVED IF YOU PROVIDE A 990 FOR PRIOR FINANCIAL YEAR)

Note: Complete the following sections using information included on your organization's most recently filed tax return. Enter "N/A" for items that are not applicable. If your organization does not file a tax return, use information from its most recent financial statement.
Information provided is for fiscal year 20 blanks* .
If your organization did not file a tax return for its prior fiscal year, explain why. *

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Revenue *

	Amount $
Individual donations
Grants from related organizations
Government grants or contributions
Program service revenue
Investment income
Other revenue
Total revenue

Expenses *

Net Assets or Fund Balances *

Agreement
Must be signed by Board Officer, CEO/President/Executive Director or Authorized Person.

The information in this application is factual to the best of my knowledge.

If a grant is awardedname of organization*will use the grant funds for the purpose and in the manner described in this grant application. It is agreed that the funds will be used consistent with L.L. Foundation for Youth’s funding guidelines.
The L.L. Foundation for Youth can use any of the images provided by your organization and has permission to use your organization’s name on our website or for other communication/ marketing purposes. *

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Name*
Title*
Organization name*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date*

MonthDayYear
Should be Empty:

GRANT APPLICATION