CHAMPS GRANT APPLICATION CHECKLIST Deadline: Must be postmarked on or before January 24, 2014. Your application must be completed correctly and all requested materials must be submitted before the deadline to be considered for funding. Incomplete applications, missing information or an absence of required attachments will disqualify your funding request immediately. Faxed or e-mailed applications will not be accepted. There are no exceptions. Online Grant application _____ Upload of the completed CHAMPS budget page for proposed program _____ Upload Cover letter (1 page), which highlights the program, target group and dollar request _____ Upload Proof of tax-exempt status (IRS Determination letter or other) (Not necessary for churches or public/private schools) _____ Upload Statement verifying use of alternate program site (If program is offered at an alternative site other than organization’s operating locale) _____ Upload Letter(s) of agreement if collaborating with other organizations _____ Upload copy of the most recent audited financial statement (if available) or your most recent unauditied financial statement _____ Upload copy of the organizational fact sheet/brochure _____ Upload signed Grant Application Checklist _____ Authorized Signature (Must be signed by Chairman of the Board or President of the Organization) Printed Name Title Deadline: Must be filled out online on or before January 24, 2014.