Form

Community Assistance Grants 2023

A. Organizational Information

Name of Organization:

Federal Tax ID Number (EIN):

Organization Address, City, State & Zip Code:

Organization Phone Number:

Organization Website:

Contact Person:

Contact Person Title:

Contact Phone:

Contact Email:

B. Overview

Project Name:

IN 100 WORDS OR LESS, PLEASE GIVE AN OVERVIEW OF THE PROJECT FOR WHICH YOU ARE REQUESTING FUNDING AND WHAT THE FUNDING WILL BE USED FOR:

PLEASE INDICATE YOUR PROPOSAL'S AREA OF IMPACT (CHECK ALL THAT APPLY):

Social Services

Education

Community Awareness

Cultural Enrichment

C. Organizational Background

HISTORY (INCLUDING DATE FOUNDED), MISSION, GOALS AND BACKGROUND OF ORGANIZATION (150 WORDS OR LESS):

HAVE YOU PREVIOUSLY APPLIED FOR JUNIOR LEAGUE FUNDING OR VOLUNTEERS?

IF YOU ANSWERED ‘YES’ TO THE PREVIOUS QUESTION, WERE YOU AWARDED JUNIOR LEAGUE SUPPORT/FUNDING? IF SO, PLEASE PROVIDE US WITH THE YEAR(S) YOU RECEIVED FUNDING OR VOLUNTEER SERVICES AND A BRIEF DESCRIPTION OF THE PROJECT:

D. PROJECT DETAILS

Project Name:

Detailed Project Description:

Is this a new or continuing program?

If this is a CONTINUING PROGRAM, how long has this program taken place and what, if any, changes have you made from previous years?

Total Project Budget:

Provide a brief timeline of how you will implement the project:

How will the Junior League funds be spent?

Do you have any other confirmed funding sources for this program?

If "YES," please list the other funding source(s), date(s), and amount(s):

If you are awarded partial funding, how will you modify your project?

E. COMMUNITY IMPACT

DESCRIBE THE WEST ST. TAMMANY ISSUE(S) TO BE ADDRESSED AND HOW YOUR PROJECT WILL ADDRESS THE ISSUE(S). (150 words or less):

DESCRIBE YOUR TARGET POPULATION, INCLUDING DEMOGRAPHICS AND NUMBER TO BE IMPACTED:

WHAT ARE THE GOALS AND INTENDED OUTCOMES OF YOUR PROJECT? PLEASE INCLUDE HOW THE SUCCESS OF THE EVENT/PROGRAM WILL BE EVALUATED. (150 words or less):

PLEASE EXPLAIN SPECIFICALLY HOW THE COMMUNITY ASSISTANCE GRANT WILL HELP TO ACHIEVE THE JUNIOR LEAGUE’S VISION TO 'ENRICH THE LIVES OF THE CITIZENS' OF WEST ST. TAMMANY IN THE AREAS OF SOCIAL SERVICES, EDUCATION, COMMUNITY AWARENESS, AND/OR CULTURAL ENRICHMENT:

ARE THERE OTHER AGENCIES PROVIDING SIMILAR SERVICES? IF SO, HOW WILL YOUR PROGRAM DIFFER?

F. MARKETING

HOW WILL YOU PROMOTE THE PROJECT? DESCRIBE MARKETING STRATEGIES AS WELL AS PLANS FOR ENGAGING THE SPECIFIC AUDIENCE DESCRIBED ABOVE:

IF FUNDING IS APPROVED, HOW WILL YOU RECOGNIZE JUNIOR LEAGUE OF GREATER COVINGTON?

G. ATTACHMENTS

Please include the following attachments with your grant request:

PROJECT BUDGET

Letter of Determination

Organization's Board of Directors

Annual Board Approved Budget

IRS 990 Form

IRS W-9 Form

Organizations selected to receive a Community Assistance Grant will be invited to JLGC's 45th Anniversary Celebration on Sunday, May 21 from 1 pm-3 pm to receive their grant and be recognized of this honor. Recipient will receive a formal invite to follow.

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