Program grant

Women & Girls Fund
of the Community Foundation of Northwest CT
Invitation to apply for a Women & Girls Fund



PROGRAM GRANT

The Community Foundation of Northwest Connecticut, Inc.

GRANT APPLICATIONS ARE DUE in the Community Foundation of Northwest CT office by 5 p.m. on MONDAY, MARCH 16, 2015
(not just post-marked)
EMAILED APPLICATIONS WILL NOT BE ACCEPTED
WOMEN & GIRLS FUND GRANT APPLICATION GUIDELINES

1. 
   The Executive Committee of the Women & Girls Fund selects grant recipients from among applicants who provide programs and services benefiting women and girls in the Community Foundation *20 towns service area. The Fund supports programs that serve women and girls in the areas of education, economic opportunity, social services, and/or health care.

   *Barkhamsted, Bethlehem, Colebrook, Cornwall, Falls Village/Canaan, Goshen, Hartland, Harwinton, Kent, Litchfield, Morris, New Hartford, Norfolk, North Canaan, Salisbury/Lakeville, Sharon, Torrington, Warren, Washington, and Winsted/Winchester.

   
   

Applicants may request up to $3,000 for programs in the above focus areas.

Retroactive funding is not available. Grant award(s) will be announced April 15.

1. 
   In addition to completing the attached grant application, please supply the following:
   

1. 
   an original plus 5 collated copies of the application
   
2. 
   proof of nonprofit 501(c)(3) status (1 copy)
   
3. 
   annual operating budget and most recent year-to-date balance sheet (1 copy)
   
4. 
   an original plus 5 collated copies of the project budget with specific line items for revenues and expenses
   
5. 
   current list of board of directors or governing body (1 copy)
   
6. 
   signatures of Executive Director and Board Chair
   
7. 
   organization’s non-discrimination policy (sample on CFNWCT website) (1 copy)
   

.

1. 
   Acceptance of an award certifies that the grantee will expend funds for the purpose as stated in the application. Award recipients also may be invited to discuss the impact of their grant-funded program at the annual reception of the Women & Girls Fund.
   

WOMEN & GIRLS FUND PROGRAM GRANT APPLICATION

Name of Organization: ______________________________________________________________________________
Mailing Address of Organization: ____________________________________________________________________________
____________________________________________________________________________
Name/Title of Contact Person: _______________________________________________________________________
Telephone Number: _____________________________Fax Number: _______________________________
E-mail Address: _________________________________________________________________________________________

1. Brief description of the purpose of your organization and services provided:

2. Describe the specific program and focus area (refer to application guidelines) for which you seek funding (reminder: to be eligible for consideration, the program must serve women and girls in the areas of education, economic opportunity, social services, and/or health care):

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2.a. As part of your operational costs, the grant will support a one-time only need for a consultant or guest speaker for a specific program. Other: explain.

3. Amount of grant request (up to $3,000.00): __________________

4. Explain how the funds requested will be used.

5. Quantify this program’s likely impact on women and/or girls in northwestern Connecticut:

6 How would a partial grant from the Women & Girls Fund impact your program?

-more-
Signature of applicant’s CEO/Executive Director:______________________________________________________
Signature of applicant’s Chairman, Board of Directors (verifies board approval):____________________________________________________
Date application submitted: ______________________________________

PLEASE DO NOT USE STAPLES IN YOUR APPLICATION—PAPER CLIPS ONLY
Deadline: Applications must be received at THE FOUNDATION OFFICE

(not just post-marked) by 5 p.m. on Monday, March 16, 2015
Emailed applications will not be accepted

Mail or deliver the original plus 5 copies (where applicable) of the completed application and supporting documents to:
The Community Foundation of Northwest CT

Attn: Lorraine Haddock

32 City Hall Avenue

P.O. Box 1144

Torrington, CT 06790