Grant Application

Helpers Community
917 855 5800
Harry@Helperssf.org

Contact Information:

Organization Name *

Name *

First

Last

Phone *

Email *

Project Overview:

Request/Project Title: *

Organization Description: *

Provide a brief history and overview of your organization, including your mission statement and goals.

Request Summary: *

Describe the specific purposes for which any grant funds awarded from Helpers Community; Inc. will be used. (i.e., project funding, operations, specific equipment, etc.)

Amount of Grant Request: *

Demonstration of Need/Population Served: Describe the need or challenge being addressed by the proposed project.

Additional Demographic Comments: *

Demonstration of Need/Population Served: Describe the need or challenge being addressed by the proposed project.

Objectives and Outcomes:

Specific Objectives and Outcomes: List the specific objectives of the project or program to be funded. Be as specific as possible in describing the benefits realized by your clients. (i.e. historical attendance, completion, year-to-year retention rates, milestones).

Implementation/Evaluation:

Describe your organization’s implementation plan and timeline for the program. (Include # of Staff & Volunteers needed). Describe how your organization will achieve the objectives of your project and the specific actions it will take to achieve results.

Potential Implementation Challenges:

Describe any potential implementation challenges and what the strategy will be to meet those challenges. (i.e., permits, unforeseen costs).

Organizational Criteria:

Describe the criteria your organization will use to measure the success of the project or program

Mission Connectivity: *

Match to Helpers Community Mission and Grant Priorities: Describe how a grant to your organization would further Helpers Community, Inc.’s mission and priorities.

Collaboration: *

Please describe any informal or formal relevant collaborative ventures your organization has established (or will establish) with other entities serving similar purposes that may be relevant to this grant request.

EXPECTATIONS for our relationship as grantor and grantee upon receiving an Award grant from Helpers Community:

We will mention the Helpers grant on our organization website
We will feature the receipt of a Helpers Grant for the project supported and its impact in organizational newsletters, blogs and all social media platforms
We will help to leverage the Helpers grant for matching gift opportunities with our donor base, company matching gifts and other funders
We will create a Hyperlink to Helpers Community on our website and social media postings where we feature the support received.
We will create a naming opportunity or feature a plaque or other form of recognition as appreciation and the gift received from Helpers COmmunity, and to let our supporters know that Helpers Community made this infrastructure change, upgrade , addition or improvement possible.
We will follow up with Helpers Community with a complete recap and accounting of the support received, ( a source and use of funds budget), along with pictures of the completed project, and the impact this award had on our program/ residential program participant Adult with Developmental Disabilities

Check all that you will do to support our partnership, and to help raise awareness of Helpers Community's impact to your supporters, partners, friends and family for the award grant your received:

Annual Project Budget: *

Project Staff Expense:

Project Budget Detail: *

NOTE: Provide a detailed budget for the project, listing major expense categories. If it is a general operating request, enter “Not applicable.”

Other Project Funding:

List any sources that have funded or may fund this project. Include any pending grant requests, providing entity name, amount requested, and current status.

Organization Financial Information:

Total Board approved Annual Budget for Current Year *

Organization Budget Detail: *

NOTE: Provide a brief budget for your current fiscal year that breaks down the above overall total by category. (Suggested categories: program services, salaries, fundraising, capital improvements, equipment, recruiting, etc.). One budget item per line.

Budget Changes: *

NOTE: Summarize any significant changes in your current year budget since initially established.

Percentage of budget allocated to administrative expenses:

Prior Fiscal Year Finances *

Click or drag files to this area to upload. You can upload up to 5 files.

Please attach a copy of most recent year P&L or 990 and any supporting documents here.

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