ST. JAMES FOUNDATION OF NC GRANT APPLICATION Project Name * APPLICANT INFORMATION Organization Name * Organization Mailing Address * City, State, Zip * Website http:// Email * Phone * (###) ### #### Grant Contact Person * Business Structure * 501(c)3 School Local Government Entity Other Names/Titles of Management Staff or Board Members * Brief History of Organization * MISSION STATEMENT Mission Statement * FINANCIALS Total Operating Budget * $ Dates of Fiscal Year * Other Sources of Income PROPOSAL DETAILS Project Summary * Describe the project. Be specific. What will it accomplish. What problem will it solve. What will the grant funds purchase. (Limit to 300-500 words). What is the goal of this project facilitated by this grant request * Describe who AND how many people will be impacted by this grant * Project beginning and end Dates * Total budget for the project * $ Grant amount requested * $ What percentage of the project will the grant fund * How will the organization recognize or publicize the grant * Are there resource challenges to executing this project should funding be allocated * Will the grant cover the entire cost of the project * Yes No Is this the first time submitting this request * Yes No Have you submitted this request to other organizations this year * Yes No Have you submitted for and were successful in receiving grant requests in the past * Yes No Two project supporting documents may be attached in JPG, PNG, Word, Excel or PDF formats. Note the names of the documents here EVALUATION ASSESSMENTS Describe how the impact or effectiveness of the project wll be measured Will project components be scalable or transferable in the future Yes No What metrics will be used to ensure optimal allocation of funds COMMUNITY BENEFITS Describe how the grant will impact the needs of the community SUPPLEMENTAL INFORMATION Please provide the link to your annual report http:// Thank you for submitting your application and the work you do supporting education in Brunswick County. Due to the number of applicants, only those selected will receive a reply.
