CONNECTICUT HUMANITIES FUND
CAPACITY BUILDING GRANT
For applications submitted February 1, 2016 and later
PA RT 2: A PP LIC ATI ON M ATE RIALS
2.1
2.2
2.3
2.4
APPLICATION COVER AND CERTIFICATION
PROJECT NARRATIVE
PROJECT TEAM
SCHEDULE
REVISED NOVEMBER 2015
CONNECTICUT HUMANITIES FUND | CAPACITY BUILDING GRANT | PART 2 | PAGE 1
2.1
APPLICATION COVER AND CERTIFICATION
CTH Project #
PROJECT TITLE
APPLICANT ORGANIZATION
APPLICATION DATE
GRANT PERIOD Note: All Capacity Grant periods are twelve (12) months in duration, beginning on the first day of the month of award date
notification. All CTH funded activities must occur and be completed within the Capacity Grant (12) month period. No extensions are allowed.
CTH FUNDS REQUESTED
AUTHORIZING SIGNATORY
NAME
TITLE
ORGANIZATION NAME
ADDRESS
CITY
PHONE
STATE
ZIP +4
E - MAIL
IMPORTANT! THE AUTHORIZING SIGNATORY MUST CERTIFY THE STATEMENT BELOW BY CHECKING THE BOX.
I CERTIFY THAT THE INFORMATION PRESENTED HERE IS TRUE AND ACCURATE; THAT I HAVE READ AND UNDERSTAND THE
GUIDELINES RELATING TO THIS APPLICATION; AND THAT THE APPLICANT ORGANIZATION IS IN COMPLIANCE WITH ANY GRANTS
PREVIOUSLY AWARDED BY
CONNECTICUT HUMANITIES.
PROJECT DIRECTOR (PROJECT DIRECTOR CANNOT BE FISCAL AGENT)
NAME
TITLE
ORGANIZATION NAME
ADDRESS
CITY
PHONE
STATE
ZIP +4
E - MAIL
FISCAL AGENT (FISCAL AGENT CANNOT BE PROJECT DIRECTOR AND MUST BE AN EMPLOYEE OR BOARD MEMBER OF
APPLICANT ORGANIZATION.)
NAME
TITLE
ORGANIZATION NAME
ADDRESS
CITY
PHONE
STATE
E - MAIL
ZIP +4
CONNECTICUT HUMANITIES FUND | CAPACITY BUILDING GRANT | PART 2 | PAGE 2
PROJECT NARRATIVE
2.2
PROJECT DESCRIPTION AND BACKGROUND
Explain how this project came about, why it is necessary to do this work at this time, and how it will
strengthen your organization. Describe the process you will use and the roles of the major project participants
(staff, board members, consultants). (Max of 15,000 characters. Please note: Spaces count as characters.)
PROJECT GOALS AND IMPACT
Describe specific goals for this project and the impact they will have on your organization if these goals are
achieved. (Max of 10,000 characters. Please note: Spaces count as characters.)
SUPPORT FOR THE HUMANITIES
How does your organization currently bring the humanities to the public? How will this project establish,
improve or expand your ability to do so? (Max of 2,000 characters. Please note: Spaces count as characters.)
Rev. November 2015
CONNECTICUT HUMANITIES FUND | CAPACITY BUILDING GRANT | PART 2 | PAGE 3
2.3
PROJECT TEAM (1 OF 2)
List the major participants including presenters, consultants, scholars, staff, etc. Make sure you include all
participants for whom you are requesting CTH funding. Attach resumes or bios for all listed in the
Project Team.
TEAM MEMBER #1
NAME
TITLE
ORGANIZATION NAME
SAME AS APPLICANT ORGANIZATION:
MAJOR RESPONSIBILITIES (Max of 500 characters. Please note: Spaces count as characters):
TEAM MEMBER #2
NAME
TITLE
ORGANIZATION NAME
SAME AS APPLICANT ORGANIZATION:
MAJOR RESPONSIBILITIES (Max of 500 characters. Please note: Spaces count as characters):
TEAM MEMBER #3
NAME
TITLE
ORGANIZATION NAME
SAME AS APPLICANT ORGANIZATION:
MAJOR RESPONSIBILITIES (Max of 500 characters. Please note: Spaces count as characters):
TEAM MEMBER #4
NAME
TITLE
ORGANIZATION NAME
SAME AS APPLICANT ORGANIZATION:
MAJOR RESPONSIBILITIES (Max of 500 characters. Please note: Spaces count as characters):
Rev. November 2015
CONNECTICUT HUMANITIES FUND | CAPACITY BUILDING GRANT | PART 2 | PAGE 4
PROJECT TEAM (2 OF 2)
TEAM MEMBER #5
NAME
TITLE
ORGANIZATION NAME
SAME AS APPLICANT ORGANIZATION:
MAJOR RESPONSIBILITIES (Max of 500 characters. Please note: Spaces count as characters):
TEAM MEMBER #6
NAME
TITLE
ORGANIZATION NAME
SAME AS APPLICANT ORGANIZATION:
MAJOR RESPONSIBILITIES (Max of 500 characters. Please note: Spaces count as characters):
TEAM MEMBER #7
NAME
TITLE
ORGANIZATION NAME
SAME AS APPLICANT ORGANIZATION:
MAJOR RESPONSIBILITIES (Max of 500 characters. Please note: Spaces count as characters):
TEAM MEMBER #8
NAME
TITLE
ORGANIZATION NAME
SAME AS APPLICANT ORGANIZATION:
MAJOR RESPONSIBILITIES (Max of 500 characters. Please note: Spaces count as characters):
Rev. November 2015
CONNECTICUT HUMANITIES FUND | CAPACITY BUILDING GRANT | PART 2 | PAGE 5
2.4
WORK PLAN
SCHEDULE
Describe the major tasks to complete the project, specific dates for beginning and completion, and the team
member(s) responsible for each. Include ONLY tasks during the requested grant period.
START
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Rev. November 2015
&
END DATES
TASK
TEAM MEMBER(S)