Women Inspired Network Grant Funding Application

The Women Inspired Network is now taking applications for grant funding! This year’s available grant award is $10,000. Give us a call at 815-252-2906 for assistance. Giving focus is inspiring and empowering women and children. Applications are due September 30, 2020.

PLEASE APPLY EVEN IF YOU ARE NOT COMFORTABLE WITH THE REQUIRED GRANT PRESENTATION FOR FINALISTS TO BE HELD ON OCTOBER 22, 2020. IF YOU ARE SELECTED, WE WILL MAKE ARRANGEMENTS FOR YOUR PRESENTATION TO BE MADE VIRTUALLY!

WOMEN INSPIRED NETWORK
APPLICATION FOR GRANT FUNDING

$10,000 AVAILABLE

2020-2021
SUBMISSION DEADLINE
SEPTEMBER 30, 2020

APPLICATION FOR GRANT FUNDING

WOMEN INSPIRED NETWORK

2020-2021 PROGRAM YEAR

Name of the program

Name of the Organization

Street Address

Apartment, suite, etc

City

State

ZIP / Postal Code

EIN

Organization’s website

Amount Requested

USD

Total Program Budget

USD

Applicant Name and Title/Position

Email Address

Phone

Leadership Name and Title/Position

Leader’s E-mail

Leader’s phone number

Type of OrganizationNon-Profit designated by the IRS as a 501(c)3Operating under fiscal sponsorship of a 501(c)3Municipal, County, State or Federal Government Agency/EntityPublic School or College/UniversityChurch, Synagogue, Mosque or other place of worshipOther (If selected, your organization MAY NOT be eligible to receive a grant from the Women Inspired Network Giving Circle. Please call 815-252-2906 before proceeding with the application process.)

This is:A Pilot ProgramAn Existing ProgramA New Program for our Organization that has been used elsewhere

Regions Program will serve

***To be eligible for this grant, the program must be available to residents of LaSalle, Bureau, Putnam, Marshall and/or Livingston Counties. The program does not have to be offered in all five counties, however.***

Checklist/Attachments

List of Organization's Board of Directors, including phone numbers and email addresses

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Copy of IRS Letter of Determination of Tax-Exempt Status

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NOTE: This is different than the State of Illinois tax-exempt letter, which is not proof of 501(c)3 status. If, due to the nature of your organization, you do not have an IRS Letter of Deterination, attach a statement that your organization fits into one of the classifications listed above.

Budget for this program ONLY. Income and Expenses must balance.

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Submit the completed application prior to the application DEADLINE Wednesday, Sept. 30th, 2020

All applications must be typed. They will be reviewed by the Grants Committee for completeness and accuracy. A member will notify you if your application is selected to move forward. The next step includes a presentation of your case for support to the full membership on Thursday, October 22nd, 2020. All founding and sustaining members will vote for the final recipient(s) in October. The winners will be announced and funding will be awarded during the annual Celebration of Giving on Sunday, November 8th, 2020.

Organization Background

Describe the organization's mission, major programs and accomplishments:

Provide a summary of the organization's history:

Proposal

Name of the Program

Provide a summary of what the program entails:

How does this program fit the WIN GRANT focus (programs that seek to inspire and empower girls and young women to achieve their highest potential)?

How does this program fit the mission of the organization it will support?

Provide a specific description of the target population:

How many people do you expect to participate in the program?

Who will direct and who will conduct the program? What are the qualifications?

When will the program begin? If the program is underway, enter the date it began.

What is the expected ending date of the program? If the program will be ongoing, enter 12/31/2021, which is the date by which the grant money, if awarded, must be expended.

What is the primary goal of the program?A goal is a long-term aim you wish to accomplish which may or may not be achieved within the grant period. The goal answers the question, "What would we like to see happen as a result of this program? Example: "All 5th grade girls at Putnam County Primary School will have positive self image as they prepare to enter middle school."

Identify two objectives of the program. There may be more than two. Chose those you feel are most important in reaching the goal. (Objectives are targets that move you toward the stated goal of your program. They are characterized by the acronym SMART (specific, measurable, acheivable, relevant and time-bound). Example: "80% of fifth grade girls will self-identify as leaders by the end of the school year."

OBJECTIVE #1

List proposed activities, both planning and direct service, that will support Objective #1.

How will you determine if Objective #1 has been achieved?

Describe the specific measurements you will use, such as pre- and post-program questionairres, schedules or tests, reports from teachers/parents, interviews, etc.

OBJECTIVE #2

How will you determine if Objective #2 has been achieved?

List proposed activities, both planning and direct service, that will support Objective #2.

Describe the specific measurements you will use, such as pre- and post-program questionairres, schedules or tests, reports from teachers/parents, interviews, etc.

Rationale and Sustainability

Funding and Resources

If this is an existing program, how long have you received funding, from whom, and in what amount? (Enter n/a if this is not an existing program.)

Have you applied for other grants to support this program? If so, to whom have you applied, in what amount, and when is a decision expected?

Aside from grants, are there other anticipated sources for this program, such as in-kind gifts, special events or fundraisers? If yes, please describe.

Budget

Please attach the budget for this program ONLY, not for the entire supporting organization. Note: Income and expenses must balance.

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Warranty

The supporting organization does not discriminate on the basis of race, color, religion, gender indentification, national origin, sexual orientation, or disability in accordance with applicable Federal and State of Illinois laws.TrueFalse

Any funds received for this program will be used for the stated charitable purpose outlined in this application and in accordance with the terms and conditions stipulated in the Grant Agreement I will receive, including submission of required reports by their due date.YesNo

Should this program be funded now, my organization authorizes the Starved Rock Country Community Foundation to share this proposal in its entirety with other funding sources at its discretion. NOTE: A "no" response is permissable.YesNo

By signing my name in the space below, I affirm that I am an authorized representative of the charitable organization named in this application. I further affirm that this application is submitted with the full knowledge and consent of the organization's leader listed in the Contact Information section of this application.

Applicant Name

Date

Please note our physical address has changed!

If using a paper application, please mail to:

Cathy Rosen

Executive Administrative Assistant

SRCCF

241 Marquette Street, LaSalle, IL 61301

815-252-2906

[email protected]

Download a PDF Application:

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Your unrestricted donation to the Leadership Fund for Now is just that, a gift for NOW. It enables us to operate, provides funds for immediate distribution to area agencies and charitable initiatives and helps us build the core administrative fund. The Leadership Fund for Now is made up of unrestricted donations, earnings on investments, and administrative fees. This is where we need your donation the most.
Pamela Beckett

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