Grant Application Form Step 1/4: Applicant Information Leave this field blank Applicant Name (required) Address (required) Contact Person (required) https:// Have you ever received funding from the Mission City Community Fund in the past? (Required) Yes No Project Information Amount Requested $ Total Project Cost $ Upload Detailed Project Description Provide details of the specific project, including: its scope, number of clients served, start and end dates, number of people involved, whether paid or volunteers, and how effectiveness/success will be measured. Include what specific portions of the project will be funded by this requested grant. Include the history of similar or identical instances of this project. Document Upload Required Choose file Uploading… (0%) Browse A file with this name has already been uploaded. This file type isn’t allowed. This file size is too big. Project Status New Project Continuing Project Documents Organizational History and Grant Details (required) History of the organization and details of the grant as it applies to the mission of the organization. Organizational History and Grant Details Upload Required Choose file Uploading… (0%) Browse A file with this name has already been uploaded. This file type isn’t allowed. This file size is too big. Most Recent Financial Statement (required) Accounting statements for the previous year, using generally accepted accounting principles (GAAP). For larger non-profits it is expected that these would be audited statements. Recent Financial Statement Upload Required Choose file Uploading… (0%) Browse A file with this name has already been uploaded. This file type isn’t allowed. This file size is too big. Articles of Incorporation (required) A copy of the letter from the state government certifying the incorporation of the non-profit organization. Articles of Incorporation Upload Required Choose file Uploading… (0%) Browse A file with this name has already been uploaded. This file type isn’t allowed. This file size is too big. 501(c) (3) Status (required) A copy of the letter from the Internal Revenue Service certifying the 501(c)3 status of the organization, including the Tax Identification number. 501(c) (3) Letter Upload Required Choose file Uploading… (0%) Browse A file with this name has already been uploaded. This file type isn’t allowed. This file size is too big. Current Board of Directors (required) A list of the current Board, including the Officers of the organization. Board of Directors Document Upload Required Choose file Uploading… (0%) Browse A file with this name has already been uploaded. This file type isn’t allowed. This file size is too big. Organizational Chart (required) Specifies how the non-profit is organized, providing all the individuals' names for all levels of the organization, with a notation as appropriate of the paid and volunteer positions. Organizational Chart Document Upload Required Choose file Uploading… (0%) Browse A file with this name has already been uploaded. This file type isn’t allowed. This file size is too big. Brochure/Program Information (required) These are marketing materials produced to introduce potential clients to the deliverables/services that are available. In addition, if there are marketing materials used to solicit donations from other corporations or individuals, those should be included. Brochure/Program Document Upload Required Choose file Uploading… (0%) Browse A file with this name has already been uploaded. This file type isn’t allowed. This file size is too big. Letter(s) of Evidence of Community Support (required) In essence, letters of recommendation from a satisfied client. These are written by an organization or individual who has received products or services from the organization making this grant request and attesting to its value and effectiveness in making a positive difference in the community it is serving. Multiple letters should be submitted as one document. Letter of Evidence of Community Support Required Choose file Uploading… (0%) Browse A file with this name has already been uploaded. This file type isn’t allowed. This file size is too big. Most Recent Form 990 (including Schedule A) A copy of the most recently filed Federal tax return. (optional) Choose file Uploading… (0%) Browse A file with this name has already been uploaded. This file type isn’t allowed. This file size is too big. Certification (required) I/We certify that all information submitted as part of this funding request is true and accurate and that as a non-profit agency we are accountable for fulfilling the goals of the project. Signature (required) Start drawing Clear Done Start over Signatory Name (required) Continue