New England Grassroots Environmental Fund: Small Grant Application Form


		Small Grants Program Application Form

Home Frequently Asked Questions *Small* *Grants* Grant Guidelines Grant Application Form Grant Report Form Grant Distribution Map Boston Grants Initiative About Us Trainings & Conferences Brochure & Annual Reports Current Newsletter Archived Newsletters Grantees by Issue Air Biotechnology Energy Land Use Natural Resources Population/Consumption Toxics/Hazardous Waste Urban Environment Water General Grassroots Web Links Contact & Staff Info		NEXT APPLICATION DEADLINE - SEPTEMBER 15th Funds to be distributed in December, 2008 Please Note: If the deadline falls on a Sunday or holiday when the post office is closed, the deadline is extended until the following day. Please send in regular mail; do not send via FedEx of Express Mail. For more FREQUENTLY ASKED QUESTIONS, click here. If you are looking for the Small Grant Report form, click here. Visit the Small Grants Program Guidelines page for details about our grantmaking program, who is eligible to apply, projects we fund, deadlines, length of application, attachments to include, etc. Please type your response, or re-enter our format on a computer for printing. Copies of this Application Form will be forwarded to the Fund's Grantmaking Committee for review and consideration. The completed application should be no more than five pages, with the Cover Sheet (one page), the Narrative, including the Project Budget (two pages), and the Applicant Profile (two pages). Attachments are not counted as part of the five pages. You may download the grant application in: Acrobat (PDF) format, Microsoft Word, or Rich Text Format (RTF). If you need the free Acrobat reader, you can get it here Looking for Boston Grants Application? Please go here. APPLICATION FORM COVER SHEET DATE: NAME OF APPLICANT ORGANIZATION: CONTACT PERSON: ADDRESS: DAY PHONE: EVENING PHONE: FAX: E-MAIL: WEBSITE: AMOUNT OF THIS REQUEST: $ TOTAL PROJECT BUDGET: $ TOTAL CURRENT ORGANIZATIONAL BUDGET: $ TOTAL AMOUNT YOUR ORGANIZATION SPENT LAST YEAR: $ NUMBER OF EMPLOYEES, FULL AND/OR PART-TIME: PROJECT PROPOSAL SUMMARY (No more than 3 sentences) HOW DID YOU HEAR ABOUT NEGEF? CHECK ANY OF THE FOLLOWING THAT APPLY TO YOUR ORGANIZATION: ______ Ad Hoc Group ______ Checking or Savings account in group's name ______ Fiscal Agent (Include name of Organization and EIN) ______ Incorporated as a nonprofit in the state ______ 501(c)(3) status with the IRS ______ EIN If you are an ad hoc group and do not have a checking account or fiscal agent, you will need to set up an account or agent upon receipt of a grant. You do NOT need to have an account or agent when you apply. APPLICATION FORM NARRATIVE (No more than two pages in length) PROJECT DESCRIPTION Give a brief description of your proposed project. Be sure to include background of the issue. If your project is successful, what changes will occur in your community and its environment? Please include a timeline/steps for its completion. PROJECT BUDGET 1) Itemize anticipated expenses and income for the Project Proposal. Also note in-kind services (donated materials and/or labor) you may receive for this proposal. Please specify what expenses will be covered with NEGEF's funds. Expenses: Income: In-kind Services: 2) Principal sources of support (E.g., Membership dues, individual donations, grants, special events, etc.) Please list any grants that your group has received. ATTACHMENTS: A list of key volunteers, board of directors and current staff (if any) with affiliations, brief biosketches, and email addresses Financial statement for most recent completed year and budget for current year, if available List of local media and contact names and emails to whom we can send a press release Selected copies of group's newsletter, brochure, and/or press clippings, if appropriate APPLICANT PROFILE Completed Applicant Profile should be no more than two pages in length. 1. What is the mission or the goals of your group? 2. How long has your group been in existence? 3. What issue/issues got your group going? 4. How many people started the group? 5. Is this the first time that the group's "founders" had been "activated"? If not the first time, with what other issues had they been involved? 6. How many people are currently involved as the core group of leaders/workers? 7. Is this a membership organization? If so, how many members do you have? If not, how many names are on your mailing list? 8. Do you have any paid staff? If yes, how many full-time equivalents? 9. Approximately how many people in your community can be "activated" to support your issue - i.e., go to a meeting, sign a petition, call a selectperson, etc.? 10. Has the focus of your group broadened or changed at all since it first started? If so, in what ways? 11. Have any members of your group run for or been appointed to public office since they started working on your issue/issues? If so, for what office? Elected or appointed? 12. Describe the size and make-up of your community. 13. Have you networked or shared information/resources with other groups? If so, with whom and how did you find out about them? 14. How have you gained knowledge about your issue? 15. If your organization is more than a year old, can you quantify any of your "successes"? Examples might be number of acres preserved, miles of trails, increase in recycling rates in town, toxic sites cleaned up, greenspaces/community gardens created, amount of money raised, legislation passed, etc. 16. What are the biggest challenges your community faces? 17. What skills do you feel you and/or members of your group could use to help move your issue forward? Please email to your program officer or mail to: New England Grassroots Environment Fund P.O. Box 1057 Montpelier VT 05601 p. 802 223 4622 f. 802 229 1734 www.grassrootsfund.org Thank You!
	© 2000-2004 New England Grassroots Environment Fund. All rights reserved. Last updated August 2008 Website design: MT Bytes