Community Assistance Fund Application

A. Organizational Information

Name of Organization:

Federal Tax Identification Number (EIN):

Date and Place of Incorporation:

Organization Address, City, State, Zip:

Organization Phone:

Organization Website:

Contact Person:

Title:

Contact Address, City, State, Zip:

Contact Phone:

Contact Email:

B. Overview

Project Name:

Amount requested in this proposal:

$

In 100 words or less, please give an overview of the project for which you are requesting funding and what the funding will be used for.

Please indicate your proposal's area of impact (check all that apply):

Health

Education

Cultural Development

Other

C. Organizational Background

History, mission, goals and background of organization (including date founded) (150 words or less)

Have you previously applied for Junior League funding or volunteers? Select ... Yes No

If you answered ‘yes’ to the previous question, were you awarded Junior League support/funding? If so, please provide us with the year you received funding or volunteer services and a brief description of the project.

D. Project Details

Project Name:

Detailed Project Description:

Is this a new or continuing program? Select ... Yes No

If you answered 'yes' to continuing, how long has this program taken place and what, if any, changes have you made from previous years?

Total project budget:

$

Provide a brief timeline of how you will implement the project:

How will the Junior League funds be spent?

Other confirmed funding sources for this program (source, date, amount):

If you are awarded partial funding, how will you modify your project?

E. Community Impact

Describe the East Baton Rouge issues(s) to be addressed and how your project will address this issue.

Describe your target population, including demographics and number to be impacted.

What are the goals and intended outcomes of your project? Please include how the success of the event/program will be evaluated.

Please explain how specifically the CAF award will help to achieve the Junior League’s vision to 'enhance the quality of life in the Baton Rouge community in the areas of health, education and cultural development.'

Are there other agencies providing similar services? If so, how will your program differ?

F. Marketing

How will you promote the project? Describe marketing strategies as well as plans for engaging the specific audience described above.

If funding is approved, how will you recognize Junior League of Baton Rouge?

G. Attachments

Please include the following attachments with your grant request:

Budget

Letter of Determination

Organization's Board of Directors

Annual Board Approved Budget

IRS 990 Form

IRS W-9 Form

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