Apply for a Grant | Canarelli Family Foundation

“The Canarelli Family Foundation is committed to philanthropy, supporting initiatives that reflect the founders’ core belief in giving back to the community and those who make a difference.”

– Larry & Heidi Canarelli

GRANT APPLICATION

ORGANIZATION INFORMATION

PROJECT NAME*

ORGANIZATION WEBSITE*

ADDRESS*

ADDRESS LINE 2 / SUITE*

CITY*

STATE*

POSTAL / ZIP CODE*

NUMBER OF FULL TIME EMPLOYEES*

NUMBER OF PART TIME EMPLOYEES*

NUMBER OF VOLUNTEERS*

ORGANIZATION PRESIDENT / EXECUTIVE DIRECTOR

FIRST NAME*

LAST NAME*

TITLE*

PHONE NUMBER*

EMAIL ADDRESS*

CONTACT PERSON

FIRST NAME*

LAST NAME*

TITLE*

PHONE NUMBER*

EMAIL ADDRESS*

APPLICATION FORM

ORGANIZATION MISSION STATEMENT*

PROJECT NAME*

YEAR ESTABLISHED*

FUNDING AREA*

PHONE NUMBER*

EMAIL ADDRESS*

501 (C) (3)?*
YESNO

CURRENT ANNUAL BUDGET*

REVENUE FROM GRANTS*

AMOUNT REQUESTED*

TOTAL PROJECT BUDGET*

BRIEF DESCRIPTION OF ORGANIZATION

POPULATION SERVED

PROPOSAL REQUEST

PERCENT OF CURRENT ANNUAL BUDGET GOING TO PROGRAMS

PERCENT OF CURRENT ANNUAL BUDGET FROM GRANTS

COUNTY BEING SERVED BY THIS PROPOSAL

PROJECT START DATE

PROJECT END DATE

ORGANIZATION DESCRIPTION* (Please provide a description of the organization's current work and how this work aligns with the Foundation’s program areaunder which the proposal is being submitted (Education, etc.).

ISSUES TO BE ADDRESSED* A description of the issue(s) to be addressed by the applicant's proposed project).

ACTIVITIES / STRATEGIES* (A list, in bullet format with narrative text as appropriate, of the specic work strategies and activities of the organization to address the problems outlined above).

EXPECTED OUTCOME*(A description of the applicant organization's expected outcome for the requested grant period listed in bulleted format with narrative text as appropriate).

ASSESSMENT*(Plans and methods for assessing the occurrence and quality of the organization's outcome and progress toward its goals).

ONGOING FUNDING*(List your plans/sources of ongoing funding to sustain activities/programs to be supported by this grant).

PROJECT BUDGET*(Provide a detailed budget for the project, including the amount and states of other grants requested and/or awarded).

FINANCIAL STATEMENTS* (Please attach your most recent audited financial statements).

UNAUDITED FINANCIAL STATEMENT* (Please attach a copy of the organization's unaudited financial statement for the current fiscal year).

ORGANIZATION’S BUDGET* (Please attach a copy of the organization's budget for the fiscal year).

501c3 DESIGNATION LETTER* (Please attach a copy of your organization's 501c3 designation letter).