JCPC FOUNDATION GRANT APPLICATION
I) COVER SHEET (Please use this format to create a one-page cover sheet)
Date of Application: _________________ Year Organization Founded: _____________
Organization Name: ______________________________________________________
Telephone Number: ______________________Fax Number: _____________________
Organization web site:_____________________________________________________
Principal Officer: ________________________________________________________
Contact Person & Title (if not Principal): _____________________________________
Grant Request: _____________________ Period Grant Will Cover:________________
Summarize the Organization’s Mission (2 to 3 sentences): ___________________
Summary of Project or Grant Request (include goals and objectives): _______________
II) NARRATIVE (maximum of 3 pages)
a) Briefly describe your organization’s current programs and activities
b) Describe the goals and objectives of this request.
III) ATTTACHMENTS (Supply everything below)
a) Evaluation: Briefly describe your plan for evaluating the success of the project.. How will the evaluation results be used?
b) Organizational Structure/Administration
1. Briefly describe how your organization works:
2. Who will be involved in carrying out the plans outlined in this request?
1. Organization’s current annual operating budget. (See attached if needed)
2. Current project budget (See attached if needed).
3. List individually other funding sources for this request. Include amounts and whether received, committed or projected/ pending.
4. Describe your plans for future fund raising.
5. A copy of your IRS 501 (c) (3) letter
Guidelines for Applicants
By US Postal:
Send 4 complete copies: cover sheet, proposal and attachments to the following address:
Brookfield WI. 53008-1507
Binders or folders are accepted.
Send application and appropriate PDF files to: contact@JCPCFoundation.org.
If you already prepare organizational and project budgets that approximate this format, please feel free to submit them in their original forms. You may want to reproduce this form on your computer and /or submit separate pages for income and expenses.
Budget for the period: _______________________ to:__________________________
Salaries & Wages
Fringe Benefits & Payroll Taxes
Consultants & Professional fees
Printing & copying
Telephone & fax
Postage & delivery
In- Kind support
Rent & utilities
Other ( earned income, consulting fees, etc.)
In- Kind expenses