Women & Girls Fund of the Community Foundation of Northwest ct invitation to apply for a Women & Girls Fund

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



CAPITAL GOODS/ EQUIPMENT GRANT


GRANT APPLICATIONS ARE DUE in the Community Foundation of Northwest CT
office (not just post-marked)

by 5 p.m. on MONDAY, MARCH 16, 2015
Emailed applications will not be accepted
WOMEN & GIRLS FUND CAPITAL GOODS/ EQUIPMENT 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 town service area.

   The Fund supports organizations/programs that serve women and girls in the areas of education, economic opportunity, social services, and/or health care. Applicants may

   
   

request up to $750.00 for capital goods or equipment to be used by organizations or programs in the above focus areas.

A capital good is a product that is used in the delivery of services of the nonprofit, i.e.

mattresses for a residential treatment program. Equipment is an item that creates

efficiency for the operation of the nonprofit, i.e. printer or refrigerator. Retroactive

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

*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

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. 
   two recent estimates (within 60 days) of retail value of item(s) to be purchased (1 copy)
   
6. 
   current list of board of directors or governing body (1 copy)
   
7. 
   signatures of Executive Director and Board Chair
   
8. 
   organization’s non-discrimination policy (sample on CFNWCT website) (1 copy)
   

.

3. 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 CAPITAL GOODS / EQUIPMENT 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 including years in operation:

2. Explain how the capital good or equipment for which you seek funding will be utilized by your organization/program? (reminder: to be eligible for consideration, the organization/program must serve women and girls in the areas of education, economic opportunity, social services, and/or health care):


3. Total capital good/equipment cost: ________________________


4. Amount of grant request (up to $750.00): __________________

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 IN 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



For Foundation Use Only: Date application received __________________________ and disposition _____________________
Torrington, CT 06790