APPLICATION DEADLINE: SEPTEMBER 30 AT 5:00 PM

Our Purpose

To enhance the well-being of Morrow County residents through purposeful grant-making, while also fostering philanthropy in our County and connecting individuals and organizations who are involved, or would like to be involved, in giving that helps create lasting benefits for our community.
APPLICANT INFORMATION

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1. Organization Name (Required.)

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2. Organization EIN (Required.)

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3. Street Address (Required.)

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4. City, State, Zip Code (Required.)

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5. Website

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6. Primary Contact Name for this application (Required.)

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7. TItle/Role (Required.)

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8. Phone number of Primary Contact (Required.)

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9. Email address of Primary Contact (Required.)

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10. If a grant is awarded, name and email address of person authorized to sign the grant agreement (Required.)

APPLICANT ORGANIZATION DETAILS

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11. Your Organization Mission Statement

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12. Are you a branch/part of a larger organization? If so, what organization?

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13. Year Founded

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14. IRS 501(c)(3) status (Required.)

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15. Annual operating budget

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16. Number of employees

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17. Number of Volunteers

PROJECT OR PROGRAM INFORMATION

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18. Project/Program TItle (Required.)

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19. Brief description of project/program (Required.)

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20. Project/Program Goals/Objectives (Required.)

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21. Community need being addressed (Required.)

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22. Population to be served (Required.)

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23. Project/Program Start Date

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24. Project/Program End Date

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25. Location of project/program

FUNDING REQUEST

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26. Total Project/Program cost (Required.)

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27. Amount requested from TMCCF (Required.)

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28. Other sources of funding (confirmed and pending)

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29. Project/Program budget breakdown (please attach to application). Budget should show specific use(s) of grant dollars if awarded

IMPACT AND EVALUATION

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30. What outcomes and/or long-term impact do you expect? How will your project/program enhance the well-being of Morrow County residents? (Required.)

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31. How will you measure success? (Required.)

ADDITIONAL INFORMATION

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32. Is your organization collaborating with other groups on this project? If yes, what groups and in what ways?

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33. Is there anything else you would like to share about your organization or project?

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34. Please provide a list of your organization's Board members (Required.)

REQUIRED ATTACHMENTS

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35. IRS Determination letter

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36. Most recent annual financial statement or tax return

Certification and Signature
I certify that the information provided in this application is true and correct to the best of my knowledge. I understand that submission of this application does not guarantee funding.

I further understand that, within 60 days of completing the project or program, a report will be due to The Morrow County Community Foundation regarding use of funds and outcomes of the project or program.

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37. Name of Authorized Individual (Required.)

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38. Title of Authorized Individual (Required.)

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39. Date

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