Application Deadline: Monday, January 19, 2015
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Chestnut Hill Community Fund 8434 Germantown Avenue Philadelphia, Pennsylvania 19118 Telephone: 215-248-8810 Fax: 215-248-8814 www.chestnuthill.org 2015 Application for Funding Date _______________ Committee or Organization Name ________________________________________________ Address ________________________________________________________________ ________________________________________________________________ Name of Contact Person _____________________________________________________ Telephone Number ________________________ Fax Number _____________________ E-Mail Address ______________________________________________________________ Employer Identification Number (EIN) _____________________________________________ Organization’s Tax-Exempt Status [ ] Under 501(c)(3) * [ ] Other * If 501(c)(3), please attach a copy of your IRS determination letter and a list of your current Board of Directors. Amount Requested: $ _________________ Purpose of Grant: [ ] Operating Expenses - OR - [ ] Special Purpose (specify): __________________________ Application Deadline: Monday, January 19, 2015 Page 1 of 4 Please complete all items. Brief but complete responses will be appreciated by the volunteers on the CHCA Fund Drive Committee who carefully review all applications. Note that we have added Item 6, an Executive Summary, which should be limited to 150 words or less. 1. Describe the proposed activities or project to be supported by the requested funds. This description should include the overall goal and specific aims, the audience or community members who will benefit, and the need for the activities or project in the Chestnut Hill community. ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... 2. Describe how the proposed activities or project will be carried out. This description should include staff required (that is, leaders, members, new volunteers, etc.) and a timetable. ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... 3. Describe how achievement of the overall goal and specific aims will be measured (evaluation of success). Examples of measures could be the number of persons participating, the number of new participants in comparison to previous years, the satisfaction of participants, the amount of promotion in comparison to previous years, etc. Please be specific about the number of participants in the 19118 zip code to demonstrate your project's impact in the Chestnut Hill community. ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... Page 2 of 4 4. Provide a budget for the proposed activities or project. This budget should include expenses, expected revenues and sources of income in addition to the requested funds. If applicable, describe other fund-raising activities and plans for continuing support. ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... 5. Provide a brief description of the organization’s activities in the last 12 months OR a copy of the organization’s most recent annual report. If not already provided, attach a copy of the organization’s budget from last year, including a report of revenues and expenses. ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... ..................................................................................................................................................... 6. Executive Summary. Please summarize your proposal in 150 words or less. This summary will be reviewed by the CHCA Board of Directors. It is intended to quickly acquaint them with your proposal without reading the entire application. The summary may also be publicly distributed. …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… Page 3 of 4 7. 8. We are interested in improving and formalizing the marketing/PR opportunity with our grants and events. a) If a grant is awarded, describe how your organization will promote the Chestnut Hill Community Fund (CHCF) in your online and PR/marketing and at the event (e.g., clear mention that the event is sponsored by CHCF on your website and pre- and post event coverage, CHCF logo on your event postcard, mention of the CHCF in your event booklet and signage, mention of the CHCF on your website / event website / social media, etc.). If practical, this should also include having a Fund Drive Trustee or other representative saying a few words at your event and an information table. b) Where possible for physical improvements to the neighborhood, a permanent placard noting a fixed improvement (e.g., a bench in a park, garden, statute, etc.) is desired as a lasting gift to the community versus just landscaping; so please describe how this can be accomplished. c) Additionally, note if you would be willing to send an email blast to your membership and board members about the CHCF fund drive appeal during the November-February timeframe to help us expand our reach. d) Are you able to provide a short video clip and photos post-event that we could use for a year in review highlight piece? Please note what dates (note two – preference and alternative) during which you wish to review your grant application with the CHCA Fund Drive Committee. These sessions will last approximately 15 minutes. Available days include: Tuesday, February 3, 10, 17, and 24. Sessions will run from 7:00-8:30 p.m. at the CHCA office. Your time will be provided to you in late January. (Note: Internal CHCA programs will be reviewed at a separate time to be announced.) ………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………. Application Deadline: Monday, January 19, 2015 Please e-mail your application to: fund_grants@chestnuthill.org Questions? Call Noreen Spota at 215-248-8810 Page 4 of 4
