Grant Application Form

I. Organization Information

Name of Organization*

Contact Person & Title*

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Fax

Email*

EFIN#*

Website

Have you ever been funded by the Snowshoe Foundation?*

Yes
No

How much did you receive from the Snowshoe Foundation?*

Briefly describe the project*

Note: If you are a School (or school related) applying for a grant – please skip questions 1 – 3

Provide a brief narrative of the organization to include: (a). Mission & Purpose, (b.) Year organization started, (c.) Services provided, (d.) Geographic area served

Describe the revenues your organization receives from all sources and indicate how it is used to support your program or need:

Organization’s current annual operating budget:

Have you applied for funding from other sources for this same project? If so, how much funding was requested and when will you know if funding was approved? (Please keep us updated as you are informed)*

II. Project Information

Name of Project*

Amount Being Requested*

Time Frame for Project*

Project Class*

1. Please provide a brief outline of the goals and objectives for this project:*

2. Provide a complete detailed project budget that lists all expenses and each source of income, to include the amount requested from the Snowshoe Foundation.*

a. Examples of expenses: Equipment, Materials, Personnel, Consultants, etc… (note: the Snowshoe Foundation does not fund salaries, compensation, ongoing costs)
b. Examples of income: In kind support, Snowshoe Foundation, Individual Contributions, Business Sponsorships, Other Funding

3. Sustainability Plan: Describe how the project will be financially and organizationally sustained at the end of the grant.*

What would it mean to you or your organization if funding is not/or only partially provided by the Snowshoe Foundation? What other options would you pursue?*

5. Please describe any partnership that you have entered into with the Snowshoe Foundation (Have you volunteered for an event, sold Treasure on the Mountain Raffle tickets, etc)?*

If you have any additional information or comments, please provide here:

1. A copy of the most recent Audited Financial Statement. If there is not an Audited Financial Statement, please explain and attach a copy of the most recent 990. Please note, if you have the 990 postcard, attach a copy of the postcard and a completed Fiscal Year Financial Statement.

2. A list of the names, titles, and city or town of residence for the board of directors, chief executive officer, and any other key personnel or volunteers involved in the project.

I. Organization Information

II. Project Information

The deadline for submitting grant applications has passed.

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