Application
04/2015
MILITARY SPOUSES OF NEWPORT
CHARITIBLE DONATION APPLICATION
The Military Spouses of Newport (MSoN) is a 501(c)(7) tax exempt organization
comprised of spouses of active duty, reserve, and retired or deceased military
personnel of all US Armed Services, National Guard, Coast Guard, and
government employees GS-7 and above, in the Newport area.
The purpose of MSoN is to promote the interests of the active duty and retired
military community in the Newport area. After all of MSoN’s expenses are met, all
monies derived from the activities of MSoN shall be used solely for scholarships
and charitable purposes.
Yearly, MSoN gives $5,000 - $10,000 in charitable donations to non-profit
organizations directly benefiting military families, with the average grant being
$500 - $1000. Organizations should apply for funding for their most critical needs,
whether support is being requested for continuing existing and exceptional
programs, or undertaking new or expanded programs.
Charitable donations are disbursed in October, December, and April. Applications
will be considered within the disbursement period in which they are received.
Application Criteria/Instructions:
 MSoN will consider grant requests from local and national non-profit
organizations that directly benefit military members and/or their families.
There will be emphasis placed upon activities and services that support or
immediately benefit military member(s) in the Newport community. This
also shall include, but not be limited to individuals employed /programs
within our area schools.
 Organizations must demonstrate a non-discrimination policy regarding
staff, employment, governing board, and service delivery on the basis of
1
Application
04/2015
race, ethnicity, religion, gender, sexual orientation, gender identity, age,
disability, or national origin.
 Organizations uncertain of their eligibility may inquire by sending an e-mail
to milspousenewport.charities@gmail.com
All applications should be clear, precise, with straight forward answers, and little
or no repetition. Applications should demonstrate that the organization:
 Employs effective, proven methods to solve problems and address the
needs of military service members and their families
 Avoids duplication of service
 Has clear objectives and a well thought-out process with which to evaluate
the program
 Justifies the resources requested by demonstrating substantial positive
benefits to the target population
 Collaborates with other agencies and groups, if appropriate
Funding will not typically be made for the following purposes: fund-raising
campaigns, re-granting of funds in an organization’s own name, or programs for
religious purposes.
To be considered, applications must be signed by the appropriate board authority
or executive director, authorizing the application and agreeing to implement the
proposed activities if funded. Applications for funding for a school must be signed
by the school’s principal.
Applications must be typed and completed in-full in order to be considered for
funds.
Please send the completed application to:
MSoN
ATTN: Charities
PO Box 5115
Newport, RI 02841
2
Application
04/2015
Application for Military Spouses of Newport Charitable
Donation
SECTION I. ORGANIZATION INFORMATION
1. Organization:____________________________________________
2. Contact Person:__________________________________________
3. Contact’s Position: _______________________________________
4. Correspondence Address: _________________________________
_______________________________________________________
5. Telephone Number(s): ____________________________________
_______________________________________________________
6. Email: __________________________________________________
7. The name that should appear in the “Payee” line of the MSoN check,
should the request be approved: ___________________________
8. Name of Executive Director: ________________________________
Signature of Executive Director/Principal____________________________
3
Application
04/2015
SECTION II. PROJECT INFORMATION
1. Project Name: _____________________________________
2. Purpose for which the funds are needed: (describe the project/program,
including a summary of the critical issues/opportunities that it addresses, its possible
benefits to the Newport military community, and the changes/results it hopes to attain.
Give pertinent information that will assist MSoN in evaluating your request. (Use a
separate page, if necessary)
3. Amount requested from MSoN $______Total cost of project $__________
4. Date for which funds are requested (if applicable)_ _______________
5. Number of people who will be impacted by the funds:
____youth____adults
4
Application
04/2015
6. Percentage of participants served who are active duty or their
dependents____%
IF YOU ARE REQUESTING FUNDING FOR A SCHOOL, PLEASE CONTINUE
THE APPLICATION BELOW AT QUESTION # 7
IF YOU ARE NOT A SCHOOL, PLEASE CONTINUE THE APPLICATION AT
QUESTION #8
7. Project Budget: List the total cost of each item or activity that must be purchased to
accomplish the project. Also, list the amount of support that requested from MSoN for
each item or activity. (Typically, MSoN will not fund a project in-full, so the applicant
should pursue additional sources of funding.)
 Please provide the following information:
1. Percentage of assisted lunches at your campus:___________________
2. Amount of money raised by your P.T.O or P.T.A per year:___________
3. Approximate percentage of military dependents attending school:_______
*Have you received MSoN funds in the past? _______________________
If yes, please state the date and the amount: ______________________
5
Application
04/2015
Thank you – please continue to the signature page.
(FOR NON-SCHOOL APPLICATIONS)
8. Total revenue currently available in support of this request: __________

In addition, please also attach a current operating budget for the organization
1. Percentage of funds that will go directly to the project:_ _________
2. Percentage of the organization’s overhead costs from all funds received:
____________
3. Percentage of funds to be disbursed/impact within the Newport military
community: _____
 Have you received MSoN’s funds in the past?
If yes, please state the date and the amount: ______________________
6
Application
04/2015
 I have read the information and instructions attached to this application
form and agree to the conditions stated. Furthermore, if funds are granted
for this request, I will submit written evidence of the project or event
completion. I will provide receipts and/or invoices to MSoN upon request.
 I understand that once a request is approved, every effort will be made by
MSoN to donate the full pledged amount. However approval of funding for
a request is never a guarantee that the requested amount will be funded.
Signature:___________________________________________Date______________________
Title: ______________________________
7