BCCT Mini-Grant Application 2010

1. Broome, Chenango, Cortland and Tioga Capacity Building Mini-Grant Program 2010 Application

Sponsored in part by:
The Stewart W. and Willma C. Hoyt Foundation, Inc.
The Community Foundation for South Central New York
Conrad and Virginia Klee Foundation

Before completing the following application, please review the BCCT Mini-Grant criteria available here:
http://www.nycon.org/helping_nonprofits/regionalSoutherTier.asp#Broome_grant

After you have reviewed this info, complete the following application form. Also, you must submit your current list of board members & federal tax-exemption certificate to Andrew Marietta at amarietta@nycon.org or by fax to 607-436-2760. Any questions, call 607-436-3124 or e-mail amarietta@nycon.org.

Question Title

* 1. Organizational Info

Organization’s Corporate Name:

Address:

Year Incorporated:

Number of Employees:

Question Title

* 2. Briefly describe the purpose and services of your organization.

Question Title

* 3. If your organization is located outside of Broome, Chenango, Cortland and/or Tioga Counties, please explain what services and the level of services provided to persons in these counties.

Question Title

* 4. Mini-Grant Request

Amount Requested (please read criteria for outline of funding amounts):

Overall Project Cost (if cost is greater than the grant amount):

Question Title

* 5. Briefly describe the capacity-building services to be paid for by this grant:

Question Title

* 6. What consultant services are you retaining? Please provide name, address, telephone & email of firm and principal(s) involved.

Question Title

* 7. Briefly describe how these services will improve the organizational performance or well-being of your nonprofit.

Question Title

* 8. We the undersigned, if awarded a grant, agree to use it only for the above-described purpose and to return any unused portion within the grant period. We further agree to report on the use of grant funds and the results of the project as required by NYCON. Grant reporting requirements will accompany a grant award letter.

Yes

Question Title

* 9. Contact Info (your project contact and board president will be notified of your Mini-Grant award by e-mail).

Board President:

E-mail Address:

Project Contact:

E-mail Address:

Question Title

* 1. Organizational Info

Question Title

* 2. Briefly describe the purpose and services of your organization.

Question Title

* 3. If your organization is located outside of Broome, Chenango, Cortland and/or Tioga Counties, please explain what services and the level of services provided to persons in these counties.

Question Title

* 4. Mini-Grant Request

Question Title

* 5. Briefly describe the capacity-building services to be paid for by this grant:

Question Title

* 6. What consultant services are you retaining? Please provide name, address, telephone & email of firm and principal(s) involved.

Question Title

* 7. Briefly describe how these services will improve the organizational performance or well-being of your nonprofit.

Question Title

Question Title

* 9. Contact Info (your project contact and board president will be notified of your Mini-Grant award by e-mail).

Question Title

* 10. If you have any additional comments about the Mini-Grant Program, please share them here.