P.O. Box 2295
Westfield, NJ 07091
GRANT APPLICATION
Revised January 2002
(REFORMATTED COPIES OF THIS APPLICATION
FORM PRODUCED
IN YOUR COMPUTER ARE ACCEPTABLE)
Note: Applications for grants should be in writing and must be submitted by the first of January, April, August or October to be considered at the Trustee meeting held in February, May, September and November.
1. Date of Application: __________________________________________________________________
2. Organization's registered name and address: ______________________________________________
____________________________________________________________________________________
3. Amount of request ____________________________________________________________________
4. Attach the following:
a) A listing of current
Board of Trustees and Officers.
b) A copy of your 501(c)(3)
certificate of tax exemption (unless already on file)
c) Most recent audited
financial statement (unbound)
d) Current annual budget
5. Attach a narrative describing the organization's overall purpose and number of individuals served over the past year.
6. Attach a narrative describing the organizations relevance to the community of Westfield and number of Westfielders served over the past year.
7. Attach a description of the specific project for which support
is sought, including: (please respond to all)
a) its relevance to the
community needs of Westfield;
b) the proposed time-frame
of the project;
c) a specific cost analysis;
d) any plans you may
have for raising matching funds;
e) identification of
other grantors being solicited for this project, with amounts requested
and/or granted;
f) plans for future funding,
if the project is to be ongoing.
8. Please state name, address and phone number
of contact person who will be
responsible for this project's
implementation, expenditure of funds and
project evaluation. (The Foundation
will require periodic and final project reports along with
verification of funds expended.)
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Submitted by: ________________________________________________________
(Signature and Official Title)