2012-2013 Community Grant Application
Please check one:
_____ This application is for a Focus Community Grant (less than
$1000)
_____ This application is for an Impact Community Grant ($1000 or
more)
Name of Project:
Amount Requested:
Name of Organization:
Address:
Contact Person:
Telephone Number:
E-Mail:
Web Site:
Please attach this sheet to your application and follow the application instructions
outlined on the next page. Applicants are encouraged to submit their applications
electronically via e-mail to the JLS office at jlsoffice@yahoo.com
A copy of your organization’s 501 (c) (3) form or proof of other tax exempt status must
also be attached for consideration.
Applications must be postmarked or electronically date stamped by November 1, 2012
and may be submitted to:
The Junior League of Summit, Inc.
Shannon M. Vick, Chairwoman
Community Assistance Committee
37 DeForest Avenue
Summit, NJ 07901
or
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2012-2013 Community Grant Application
jlsoffice@yahoo.com (attn: Shannon Vick)
Applications for Community Grants must be submitted in the format outlined below and provide
a detailed description of your objectives and projected outcomes.
I.
GOAL – State the purpose of this grant request as it relates to your organization's
mission and long term goals.
II.
OBJECTIVE – Describe the project you are proposing and its anticipated timeframe.
Include its expected outcome, how it will impact the community your agency serves,
and the number of people who will benefit. In addition, describe the impact on the
communities of Berkeley Heights, Chatham, New Providence, and Summit, and the
number served from those communities.
III.
ACTION PLAN – Outline the implementation plan that will enable you to reach your
objective, following the outline below:
A. Personnel/Authority
1. Who in your organization is responsible for overseeing this project?
Include name, title and phone number.
2. Who will be involved with the project on a day-to-day basis?
a. Administrative staff (include titles and function)
b. Volunteers (include number and function)
c. Other participating organizations (include name and function)
3. Provide a list of your Board of Directors/Officers.
4. List any members of the Junior League of Summit, Inc. who are currently
involved with your organization’s activities or how you could utilize JLS
volunteers.
B. Project Cost/Budget
What is the total project cost? Provide an itemized expense budget, as
well as an income budget detailing secured and requested funding. Please
note if Junior Leagues other than the JLS have also been approached for
funding this project.
C. Project Timetable
Provide a complete project calendar, with milestones noted.
D. Publicity Plan.
Describe your publicity plan for this project, including how this grant will be
publicized.
E. Alternate Plan
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2012-2013 Community Grant Application
If you are unable to fully fund this project as outlined in IIIB above, what are
your alternative plans for this project?
IV.
CONTROLS – Describe the process by which this project will be monitored and
evaluated.
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