Grants Application Janvrin

Janvrin Fund General Grant Application

Step 1 of 5

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COMPLETE THIS APPLICATION FOR FUNDING REQUESTS FOR THE Mary Janvrin and Natalie Janvrin Wiggins Fund for Birds, Other Animals, and Nature.

Instructions: Complete the application on the website. You may "Save and Continue Later" - the site will email you a link which is active for 30 days. Complete all questions; review instructions document for full details before completing.

The required Project Budget listed in Section III must be submitted on the Budget form on our website.
I. Application Information
Legal Name of Organization*
Division or Department Name (if applicable)
Are you a 501(c)3 Organization
- Yes
- No
Other Tax Exempt Entity?
If applicable.
If your organization is not a 501(c) 3 tax exempt entity or division/department of a government agency or religious organization, please contact Thayer Talbott, 860.347.0025, for further information before completing the application.
Project / Program Name*
Dollar Amount Requested $*
Total Project Cost $*
Synopsis
No more than two sentences describing what the grant will fund. (Response limited to 500 characters with spaces.)

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II. Grant Program / Project Information
Proposal / Purpose
State the needs or issues to be addressed, including a complete description of the program/project, the intended audience (if applicable), goals and objectives, and the projected timeline. (Maximum of 7,500 characters with spaces)
Assessment
How will you know if the project/program is successful? What specific measures will be used to track whether your work is succeeding? What quantifiable tools or metrics will be collected? What outcomes are expected? (Maximum of 2500 characters with spaces)

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III. Additional Information To Be Included with the Application
Please Note: Additional information requested below MUST be uploaded in PDF files. Other document formats will not be accepted by the form.
A. Total Project Budget:
The Community Foundation’s Application Budget Form is the required format. NOTE: The budget document MUST be uploaded in PDF FORMAT. Please provide a one page itemized budget of income and expenses of the program/project, including the amount raised or expected from other sources. If the project is ongoing, please provide an explanation of how it will be funded in the future.
Accepted file types: pdf.
B. IRS Tax Exempt Determination Letter
Attach a copy of your tax exempt determination letter in PDF file format.
Accepted file types: pdf.
Additional financial documentation, including the organization’s most recent audit, annual report, and IRS Form 990 may also be required. Only provide this information if requested.
IV. Grant Program / Project Information
Grant Type*
Other - Grant Type
Total Number of People in Middlesex County Personally Impacted by this Program/Project
The Community Foundation funds both on-going and new programs, and we are interested in knowing if this program is:
- New
- On-Going
List of Potential Collaborators / Partners
List each organization that may collaborate on this project. Include the name of the organization and the name of Executive Director or CEO, and if the organization has committed to partnering or will be approached to partner.

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Va. Organization Information
Executive Officer's Name*
Title*
Phone*
Email*
Contact Person
For this application, if different from above.
Title
Phone
Email
Mailing Address
Street Address Address Line 2 City State ZIP Code
Street Address
If different than mailing address.

Street Address Address Line 2 City State ZIP Code
Vb. Board of Directors Information
Total Number of Directors/Trustees:
Total Number of Board meetings held last year:
Average number attending in person:
Date most recent IRS Form 990 was filed:
Year of Return:

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Grants Application Janvrin

Janvrin Fund General Grant Application

Step 1 of 5

COMPLETE THIS APPLICATION FOR FUNDING REQUESTS FOR THE Mary Janvrin and Natalie Janvrin Wiggins Fund for Birds, Other Animals, and Nature.

I. Application Information

II. Grant Program / Project Information

III. Additional Information To Be Included with the Application

IV. Grant Program / Project Information

Va. Organization Information

Vb. Board of Directors Information

VI. Marketing and Public Relations

Search The Community Foundation Website