organizational grants - Darryl Worley Foundation

Organizational Grant Application

Please fill in all blanks before submitting.

Name of Organization Applying

Mailing Address

Street Address City State / Province / Region ZIP / Postal Code

Phone Number of Organization Applying

Name of Person Making Application

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone Number of Person Making Application

Title

Name of President, or Other Officer

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone Number of President, or Other Officer

Purpose of Grant: Limit of 2 pages, single-spaced, typed.

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Max. file size: 50 MB.

1. Project goal(s) and objectives
2. Project timetable
3. Benefits to the community
4. Persons implementing project and qualifications

Financial Information

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Max. file size: 50 MB.

1. Detailed copy of latest annual operating budget; income/expense, or audit report
2. Projected annual budget, showing grant expenditures
3. Sources of funding for this project.

Tax ID Number

Source

Amount $

Source

Amount $

Grant Request $

Project Total $

Note: It is our procedure to pay bills as they accrue, up to the amount of awarded grant, directly to grantee or to a designated agency. Grants are to be spent within one year from date of grant.

Other required attachments to include:

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Max. file size: 50 MB.

1. Copy of Organization’s Articles of Incorporation and Bylaws, if not on file.
2. Copy of the Organization’s IRS federal tax-exempt letter.
3. Other pertinent information you think would be hopeful to the Grants Committee.

Signature

Date