MINI-GRANT APPLICATION ($1,000 maximum) Application window opens September 1st, with November 1st deadline Grants are restricted to nonprofit organizations that have 501(c)(3) tax exempt status; educational, schools and religious organizations (for non-sectarian projects open to the community) and governmental agencies. If you are not a 501(c)(3) we suggest you use the fiscal agent option below that qualifies PROJECT/ORGANIZATION INFORMATION Project Title: Submittal Date: Geographic Area Served: Applicant Organization Name: Address: City: State: MN Zip: Contact Person: Telephone Number: E-Mail Address: Is your organization an IRS 501 (c) (3) nonprofit? yes no Tax ID# If no, complete the following section FISCAL AGENT FOR PROPOSED PROJECT (If other than applicant): Organization: Address: City: State: MN Zip: Contact Person: Title: Telephone Number: E-Mail Address: BUDGET AND INFORMATION Cost of this Proposed Project: $ Amount Requested from Five Star Community Foundation for this Project: $ Amount Obtained from other Sources/Organizations: School: Non-profit Organization: Support Club: Grant: Fundraiser: Other: ***On a separate attachment, please provide the following*** Narrative of the project: (describe the project include purpose and objectives. Why the project is needed in the community and the estimated number of community residents who will benefit. Provide qualifications of all staff/volunteers assigned to the project as it relates to their experience in relation to the project. Project timelines. Provide a statement on how the project will be evaluated on it its effectiveness of the agreed upon purpose of the project. Budget summary: (detailed budget showing ie salary expense, equipment cost, marketing costs, etc) Yes No Five Star Community Foundation Previous receipt of monies? Amount: When?
MINI-GRANT APPLICATION ($1,000 maximum) Application window opens September 1st, with November 1st deadline Grants are restricted to nonprofit organizations that have 501(c)(3) tax exempt status; educational, schools and religious organizations (for non-sectarian projects open to the community) and governmental agencies. If you are not a 501(c)(3) we suggest you use the fiscal agent option below that qualifies PROJECT/ORGANIZATION INFORMATION Project Title: Submittal Date: Geographic Area Served: Applicant Organization Name: Address: City: State: MN Zip: Contact Person: Telephone Number: E-Mail Address: Is your organization an IRS 501 (c) (3) nonprofit? yes no Tax ID# If no, complete the following section FISCAL AGENT FOR PROPOSED PROJECT (If other than applicant): Organization: Address: City: State: MN Zip: Contact Person: Title: Telephone Number: E-Mail Address: BUDGET AND INFORMATION Cost of this Proposed Project: $ Amount Requested from Five Star Community Foundation for this Project: $ Amount Obtained from other Sources/Organizations: School: Non-profit Organization: Support Club: Grant: Fundraiser: Other: ***On a separate attachment, please provide the following*** Narrative of the project: (describe the project include purpose and objectives. Why the project is needed in the community and the estimated number of community residents who will benefit. Provide qualifications of all staff/volunteers assigned to the project as it relates to their experience in relation to the project. Project timelines. Provide a statement on how the project will be evaluated on it its effectiveness of the agreed upon purpose of the project. Budget summary: (detailed budget showing ie salary expense, equipment cost, marketing costs, etc) Previous receipt of Five Star Community Foundation monies? Yes No Amount: When?
mini_grant_application__fillable_.docx