Application for Service League Grant - Bartlesville Community Foundation

Please note, you can use “Save and Continue” at the bottom to come back to your application later. However, you will have to reattach any documents.

Service League Fund Grant Application

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

These initial 6 questions will help determine whether your organization and proposal are eligible for the Service League Grant. The application questions will not open if answered incorrectly.

1. Are you applying on behalf of a 501(c)(3) nonprofit, a tax-exempt organization, a BCF Affiliate, or a BCF Component Fund?*

YES

2. Does your project serve Washington County?*

YES

3. Has your project started more than 1 month ago?*

YES

4. Will your project be complete within 1 year of receiving BCF grant funding? (Spring grant awards are paid in May and fall grants in December.)*

YES

5. Does your organization and/or project serve youth?*

YES

6. Did your organization receive a Service League Grant in this same fiscal year (July to June)?*

YES

YOUR ORGANIZATION

Organization Name:*

Organization Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Organization Website:

Tax ID Number:*

Nine-digit number issued by the IRS. If you are applying on behalf of a component fund of the BCF, please use the BCF's tax ID number which is 731575838.

Organization Contact (person responsible for grant application):*

Contact Phone Number:*

Contact Email:*

Enter Email Confirm Email

W-9*

Accepted file types: pdf, Max. file size: 16 MB.

If you are applying on behalf of a component fund of the BCF, please upload a blank form.

Solicitor Certificate of Registration from the OK Secretary of State*

Accepted file types: pdf, Max. file size: 16 MB.

This should be your most recent filing to show your organization is registered as a solicitor in the state of Oklahoma. If you are applying on behalf of a BCF component fund, or are exempt from this requirement in the state of Oklahoma, please provide your exemption letter or upload a document with "exempt" typed in text.

First Page of Most Recent 990*

Accepted file types: pdf, Max. file size: 16 MB.

The first page of your 990 includes your organization's name, filing year, tax-exempt status, and Part 1 and 2 (items 1-22). If you are applying on behalf of a component fund of the BCF, or are exempt from this requirement, please upload a blank form.

Type of Grant Requested (see grant guidelines):*

Operating Support

Programming

New Initiatives

Training

Request Name:*

Title of your project or request.

PROJECT BUDGET

Itemized Project Expenses*

Item:

Expected Cost:

Be as specific as possible, and use the "+" to add more lines. Your "Expected Costs" should add up to the total cost of your project.

Total Project Cost:*

This should be the total of the costs listed above. If you are applying for operating funds, this should be your organization's annual budget.

Grant Amount Being Requested (not to exceed $5,000):*

Please enter a number from 0 to 5000.

Ideally, this should be the cost of one (or more) of the items listed above.

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Date When Funds will be needed*

Month

Day

Year

Anticipated Project Start Date*

Month

Day

Year

Keep in mind that spring grant awardees are paid in May, and fall grant awardees are paid in December.

How Will These Grant Dollars Be Used?*

Your explanation should include the specific expense item or items for which the grant dollars would be used as listed above.

Anticipated Funding from Other Sources:*

Source:

Amount:

Be as specific as possible, and use the "+" to add more lines. "Grant Amount Being Requested" + "Anticipated Funding from Other Sources" = "Total Project Cost"

NARRATIVE

Please tell us about your proposal by answering the following questions. Each answer is limited to 1500 characters.

1. Provide a brief description of your organization and its mission.*

2. Describe the need for your project, including how the need was determined.*

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3. Please describe your project and how it serves Bartlesville.*

1500 character limit

3. Describe the target population of your project and the expected numbers to be served. If the funds are for training, tell us who will be attending the training and describe their relationship to your organization.*

4. Describe your project and how it serves Washington County.*

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5. Please describe the expected outcomes achieved through this grant. How will the target audience benefit? How will the grant aid your organization in fulfilling its mission?*

1500 character limit

5. Describe your expected outcomes.*

6. Describe your project timeline and process for implementation.*

7. How will you evaluate and measure the success of your project?*

8. How will you sustain this project in the future?*

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7. If you are applying for funding for operating, programming, or new initiatives, why is your organization uniquely qualified to fulfill your mission?*

1500 character limit

9. Describe how your organization is uniquely qualified to deliver this project and how you are collaborating with other organizations.*

Supplemental Attachment: Graphics, such as photos and charts, are e ncouraged to illustrate data and help reviewers visualize your project or product. Upload in pdf format.

Accepted file types: pdf, Max. file size: 16 MB.

Using no more than two typed pages of Times New Roman 12pt font, answer the following questions, then upload below. Remember to include the questions as section headings: 1. Provide a brief description of your organization including your mission. 2. Describe the need for which you are requesting grant funding. 3. Describe the target audience to be served through this grant. How many individuals will benefit? If the funds are for training, tell us who will be attending the training and describe their relationship to your organization. 4. Describe the expected outcomes achieved through this grant. How will the target audience benefit? How will the grant aid your organization in fulfilling its mission? 5. How will you evaluate if you have achieved the desired outcomes of the grant? 6. If you are applying for funding for operating, programming or new initiatives, why is your organization uniquely qualified to fulfill your mission?

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Narrative Attachment:*

Accepted file types: pdf, Max. file size: 16 MB.

Please upload in PDF form.

CAPTCHA

(PLEASE NOTE: When you choose "Save and Continue Later", you will be taken to this grant's home page. You will then need to scroll to the bottom and enter your email address.)