WEST VIRGINIA KIWANIS FOUNDATION

Mail to: Charles E McCallister

P. O. Box 1309, Elkins, WV  26241

 

GRANT APPLICATION

 

Contact Name:                                                                                                                      

 

Name of Kiwanis Club:                                                                                                         

 

Contact’s Address:                                                                                                                   

 

Phone Number:                                                                                                                          

 

PROJECT INFORMATION:

Answer the following questions in the space provided.  Be complete and give details where appropriate.  All answers must be included within this document.

 

PROBLEM:

Describe the problem that your project addresses.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

 

SOLUTION:

Give a detailed outline of your proposal to solve this problem.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

 

When and where will this project take place?

                                                                                                                                                                                                                                                                                                                                                                                                                                               

 

What have you done so far to get your project started?

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

 

How will your project measurably improve the community?

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

How will you measure the success of your project?

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

 

How will you build on the success of your project?

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

 

Who all is working on the project?  Please list their names, addresses and phone numbers.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

 

Is there an organization that you will be collaborating with?  If so give the name of the organization, the name of your contact, their position and phone number.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

 

Give a detailed timeline of your project.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

 

BUDGET:

What parts of your project require funding?  Give a detailed budget for your proposal.  Include price quotes if possible.  What elements of your projects are being donated and by whom?

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               

 

 

 

 

 

 

 

 

AGREEMENT WITH THE WEST VIRGINIA KIWANIS FOUNDATION

By signing this grant proposal, you agree to:

 

            Submit a final written report within two weeks of the project completion.

            Use all grant money for the purposes detailed in your application.

            Keep accurate financial records and include the records in the final report.

            Match the funds dollar for dollar by the foundation.

 

KIWANIS CLUB OF _________________________

 

BY:                                                                             

 

DATE: