KIDS CAN DO! Fund APPLICATION COVER SHEET

Date of Application: _______________ ___ Fall ___ Spring

School/ Organization’s Name: ____________________________Grade/ Age Level: _________

Address: _______________________________________________________________________________

(Street or box) (City) (Zip)

Phone: __________ Fax Number: ___________E-mail address: __________________________

Teacher/ Project Director’s Name and Title: _________________________________________

Number of Participants _______

Name of Project:_________________________________________________________________

Project Proposal (one sentence):_____________________________________________________ _______________________________________________________________________________

Projected Date of Completion: ________________________ Amount Requested: $____________

Approximate number of people to be served: ________ Total Project Cost: $_________________

Is your organization an IRS 501(c)(3) not-for-profit? ____Yes ____No

If No, is your organization a public agency/unit of government or a religious institution?

_____Yes ___ No

If No, name of fiscal agent or fiscal sponsor: __________________________________________

______________________________________________________ Date: ___________________

Signature, Superintendent of Schools or other school official authorized to accept fiscal responsibility for the funding

______________________________________________________________________________

Typed or Printed Name and Title

_______________________________________________________ Date: _________________

Signature, Project Director

______________________________________________________________________________

Typed or Printed Name and Title

Required Elements:

**Completed and Signed Grant Application Cover Sheet.

**Your numbered response to the following five items (may use additional pages)

Tell us briefly about your class or non-profit organization and the process you used to decide on your community project. Also describe how the youth of our community will carry out your plan.

Describe the goals of the project you are proposing. What need or community problem are you planning to address? Tell us what you want to accomplish and how you will evaluate the results to decide if you were successful.

Furnish a general timeline for how you will implement the plan. If you are asking parents or others in the community to assist you, please tell us who you expect to be involved and how they will help. (Remember that projects should be carried out in time to submit your Final Grantee Report. 30 days after project completion date. (Pictures e-mailed to tccf@st-tel.net))

What will it cost to implement your plan? Present a detailed budget for the project.

Describe the impact your project will have on the community. Include who and how many will benefit.

Additionally:

Your proposal does not need to be long. It should be informative and clear. It may be typed or neatly hand written.
Our review may require us to copy parts of your proposal for the convenience of the Grants Committee. Please paperclip your proposal together or place in a clearly labeled, pocketed folder. Do not staple or bind the information.
Fall applications should be submitted to the TCCF office by September 30th.
Spring applications should be submitted to the TCCF office by March 1st.

We are eager to learn about the needs you see in your community and how you can make a difference!

We want to thank you for being a part of KIDS CAN DO!!

Please call Melinda Olson at the Thomas County Community Foundation with any questions.

785-460-9152