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Mayor’s
Faith Based
and Community
Matching Grants
APPLICATION INSTRUCTIONS
1. Nonprofit Organization Information
| 1.1 |
Please
indicate the nonprofit organization’s legal
name. You may confirm this information by checking the State of Florida,
Secretary of State Division of Corporations records search at
http://www.sunbiz.org/corpweb/inquiry/cormenu.html.
|
| 1.2 |
If applicable,
please indicate the name the nonprofit organization is doing business
as (dba). If the nonprofit organization’s common name is different
from it’s legal name, please indicate the common name. |
| 1.3 |
Indicate the legal street address of the nonprofit organization. The
address must be the nonprofit organization’s legal street address and
must also be consistent with the address on the nonprofit
organization’s W-9 form. |
| 1.4 |
Please indicate the web site address for the nonprofit organization
(if applicable). |
| 1.5 |
Enter the nonprofit organization’s Tax Identification Number (TIN) or
Employer Identification Number (EIN) Number. The nonprofit
organization must have and Employer Identification Number (EIN), also
known as a Federal Tax Identification Number (TIN). |
| 1.6 |
Please submit a copy of the nonprofit organization’s W-9 form with
the completed application. The W-9 form must list the correct and legal
street address of the neighborhood organization (no P.O. boxes) as well
as the nonprofit organization’s TIN/EIN number. You may get a W-9 form by visiting
the IRS website at www.irs.gov. |
| 1.7 |
Indicate the year the nonprofit organization was organized. |
| 1.8 |
Describe the nonprofit organization's
primary services and programs that are provided to residents and
citizens in the community. |
| 1.9 |
Indicate all grant funding that has
been received by the nonprofit organization to operate or administer
family and youth programs in the past three (3) years. If funding
has been received, please list the funding source, the amount of funding
that was received, the purpose of the funding, the date funding was
received, the length of the funding or grant term, and program outcomes
for each source of funding. Use additional sheets if necessary. |
| 1.10 |
If
applicable, please indicate and describe any other funds that are being
pursued or requested from other funding sources for this project. |
| 1.11 |
Nonprofit
organizations may request an advance of up to 50% of their grant award.
If the nonprofit organization would like to request an advance, indicate
the amount requested, the items in budget to be considered for the
advance, and justification of need. If no advance is being
requested, proceed to question 1.12. |
| 1.12 |
Provide the
signature and title of the nonprofit organization's Executive Director
who affirmatively represents that he/she is authorized to execute this
agreement on behalf of the applying nonprofit organization.
Indicate the date of the signature. This signature verifies the
information contained in the application and accepts responsibility for
any funds received from the City of Orlando for the purposes of this
grant. By signing this application, the nonprofit organization
agrees to comply with the terms as defined by the City of Orlando for
the Mayor's Faith Based and Community Matching Grant. |
| 2.1 |
Please
indicate the name, mailing address, phone numbers, fax number and email
address of the Project Leader from the nonprofit organization for the proposed project.
An e-mail
address is a requirement for the purposes of this grant. |
| 2.2 |
Provide the
name, mailing address, phone numbers, fax number, and email address for
an alternate Project Leader who will be able to take over Project Leader
responsibilities, in the event the current Project Leader is not able to
fulfill his/her role and responsibilities. |
| 3.1 |
Indicate the
neighborhood organization's legal name. If the neighborhood
organization is incorporated, you may confirm this information by
checking the State of Florida, Secretary of State Division of
Corporations records search at
http://www.sunbiz.org/corpweb/inquiry/cormenu.html. |
| 3.2 |
If application, please indicate the
name the neighborhood organization is doing business as (dba). If
the neighborhood organization's common name is different from its legal
name, please indicate the common name. |
| 3.3 |
Indicate the legal street address of
the neighborhood organization. |
| 3.4 |
Please indicate the web site address
for the neighborhood organization (if applicable). |
| 3.5 |
Indicate the year the neighborhood
organization was established. |
| 3.6 |
Indicate the number of members in the
neighborhood organization. |
| 3.7 |
Indicate the North, South, East, and
Western boundaries of the neighborhood. |
| 3.8 |
Indicate whether the neighborhood
organization is a mandatory association. |
| 3.9 |
Describe the neighborhood
organization's method for distributing information about meetings,
events, and special projects to residents. |
| 3.10 |
Each neighborhood organization must
hold a meeting of its general membership to vote to pursue the grant
project and partner with the nonprofit organization in submitting the
grant application to the City of Orlando at least 7 days before the
grant deadline (February 29, 2008). A notarized copy of the
meeting minutes must be submitted with the application, noting 1) the
name of the grant project, 2) the motion and vote to partner with the
nonprofit organization in submitting the grant application to the City
of Orlando. |
| 3.11 |
The neighborhood organization President must sign the application
before submission. This signature verifies the information
contained in the application is correct and also confirms his/her
approval of the grant and proposed project. |
PROJECT DESCRIPTION
4. Indicate the Name of the Proposed Project
| 4.1 |
Indicate the
amount of grant funds you requested. |
| 4.2 |
Indicate the
amount of the match contribution (Match funds). |
5. Describe
the project. Please be specific.
6. Where will
project activities take place? Please be specific.
7. Describe
how parents, guardians, or caretakers will be involved in this project,
including recruitment techniques and roles the parents will have as part of the
project.
8. Indicate
the number of individuals you anticipate will participate in project activities
as participants (not as volunteers). Adults/Parents refers to the number
of adults, parents, guardians, and caretakers of youth participants in the
program. Children/Youth refers to the number of children and youth
participants from the neighborhood organization.
YOUTH AND NEIGHBORHOOD
IMPACT
9.
Indicate the intended benefit of the project on the youth and the
neighborhood. Describe the needs, issues, or challenges the project
will address. Please be specific. Use additional pages if necessary.
10. Describe how the nonprofit organization
will evaluate the program's performance and outcomes. For example, what
change in knowledge, skills, behaviors, attitudes, or conditions do you
anticipate happening as a result of your project?
11. What method of evaluation will you use?
(i.e., surveys, evaluation, pre/post tests, school performance reports, etc.)
Indicate the frequency of evaluations. (i.e. daily, weekly, monthly,
quarterly, etc.) Please be specific.
PARTICIPATION
12. Specifically describe how the nonprofit
organization and neighborhood organization communicated its intention to apply for a Mayor’s
Faith Based and Community
Matching Grant to the residents of the neighborhood.
13. Describe
how neighborhood residents were involved in selecting and planning the project.
The TASK column
refers to primary tasks which need to be completed. Examples could include:
contacting a business that is providing in-kind services, steps needed to plan
an event, or scheduling an activity or community service project. Please include
how information will be distributed to neighborhood residents and homeowners to
inform them of meetings, events, and special projects.
The START DATE column
refers to the date when the task needs to begin in order to finish the project
on time.
The COMPLETION DATE
column refers to the date the task is expected to be completed.
The PERSON RESPONSIBLE
column refers to the person or group charged with carrying out a specific task
or activity.
The RESOURCES
column refers to the cash, type of in-kind services, and/or volunteers needed to
accomplish the task. For example, the dollar amounts, the value of the donated
space, professional services, materials, supplies, volunteer hours, etc.
Include the date you
expect the project to be fully completed. All projects must be completed and
funds spent by December 30, 2008. All monies solicited to support the MFBCMG
project must be spent on the MFBCMG project. If any partner funds remain after
December 30, 2008, the neighborhood organization must include a timeline in the final report
stating when and how these partner funds will be spent on grant project related
activities. All remaining City grant funds will be returned to the City of
Orlando.
At least three (3) written
bids and/or estimates from established vendors must be submitted with the
grant application for any expenses of $250 or more as documentation for the
proposed budget.
If you do not have room to
itemize expenses, please include a list of expenses on a separate page and
include that page with the application.
Professional services are
valued at the customary value of the product or service contributed to the
project. For example, if a sprinkler system installation is donated by a
company, the full value of the company’s time and materials is considered part
of the match.
Please complete the
Proposed Budget according to the instructions below and submit the completed
Budget with the application. Applications without a budget will not be
considered.
| 15.1 |
Grant
Request: Grant amount requested from the City of Orlando |
| 15.2 |
Maximum
Allowable Volunteer Labor: Calculate 50% of requested grant amount
and enter it here. This is the maximum amount of volunteer labor
hours that can be claimed as match. For example, if $5,000 is requested,
50% of the match can be met
by volunteer labor hours (.50 x $5,000 = $2,500). |
| 15.3 |
Volunteer
Labor: List sources of volunteer labor and estimated hours of
volunteer time that will be contributed to the project by the nonprofit
organization and neighborhood organization. Of the maximum allowable
volunteer labor, 25% must come from the nonprofit organization and 25%
must come from the neighborhood organization. Note: neighborhood volunteers must reside within the neighborhood
organization’s boundaries to be counted towards the match. |
| 15.4 |
Total
Volunteer Labor: Indicate the total monetary value of all Volunteer
Labor Hours listed in the column titled “Match Value”. Each volunteer
hour is worth $18.00. |
| 15.5 |
Allowable
Volunteer Labor: Although as many volunteer hours as needed may be
utilized and recorded in order to complete the project, 50%
of the requested grant amount must be matched in volunteer labor hours.
This amount should not exceed more than 50% of requested grant amount. |
| 15.6 |
In-kind
Donations: List donated supplies, equipment, space or professional
services valued at “fair market value” and furnished by established
service providers and/or businesses. Add additional lines if necessary
in order to list all in-kind donations. |
| 15.7 |
Total
In-Kind Donations: Add all the In-Kind Donations and enter that
total here. |
| 15.8 |
Cash
Donations: List cash contributions or donations. Add additional lines if necessary in
order to list all cash donations. |
| 15.9 |
Total Cash
Donations: Calculate the total of all Cash Donations listed |
| 15.10 |
Match Total: Add the monetary value of total Volunteer
Hours, In-Kind Donations, and Cash Donations and indicate the total
here. It should be equal to or more than the amount requested from the
City of Orlando. |
| 15.11 |
Total
Project Revenues: Add amount of grant request and total amount of
match |
| 15.12 |
Total
Volunteer Labor: Indicate the monetary value of all Volunteer Labor
Hours indicated
in 15.5 |
| 15.13 |
In-Kind
Donations: List the type of In-Kind Donation and name of donor in
parenthesis, i.e., potting soil (Home Depot). Add additional lines if
necessary in order to provide a detailed list of In-Kind Donations. |
| 15.14 |
Total
In-Kind Donations: Add the total of In-Kind Donations and enter that
total here. |
| 15.15 |
Cash
Expenses: List all cash expenses needed in order to purchase
necessary supplies and materials to complete the project. Make a list of
all materials and services need to accomplish the project. Get cost
estimates for each item from more than one reliable source, i.e.,
company websites, sale flyers, etc. At least three (3) bids or cost
estimates must be included for expenditures of $250 or more from
established vendors. Add additional lines if necessary in order to
provide detailed descriptions of expenses. |
| 15.16 |
Total Cash
Expenses: Calculate the total of all cash expenses listed above |
| 15.17 |
Total
Project Expenses: Calculate the total monetary value of volunteer
hours, In-Kind Donations utilized, and Cash Expenses that will be used
to complete the project |
| 15.18 |
Project
Overage or Shortage: Subtract the Project Expenses from the Total
Project Revenues to determine if you have a project overage or shortage.
This number should equal zero. If you have an overage, you have more
money than necessary. Conversely, if you have a shortage, you do not
have a sufficient amount of money to cover the cost of the project. |
Please list the name,
complete address, and telephone number of each volunteer, along with the number
of hours pledged and the task the volunteer will perform. Please include the
number of estimated and/or anticipated hours, including meetings, events, and
any other hours that volunteers will contribute to the project. Only volunteer
hours accrued after the execution of the grant award can be used as part of the
match.
Individuals who provide
in-kind services or goods should not be listed on this form.
All in-kind and cash
donations must be documented on the
Proposed Budget Form.
Cash Donations
– monetary donations for the purpose of supporting the project. Please only attach the completed Letters of Intent. Do
not attach the checks or cash to the application. Partner checks and/or cash
will be submitted to Office of Neighborhood & Community Affairs after the
execution of the grant award.
In-Kind Donations of
goods and/or services
- includes supplies, equipment, space or professional services. The value of
professional services is based upon the reasonable and customary, fair market
value of the services rendered. It is the responsibility of the company or
individual donating the in-kind goods and services to determine the fair market
value of their donation.
In-Kind Donation of
Space –
includes donation of meeting and/or training space during the project period.
Note:
All donations are tax deductible to the extent allowed by the IRS. In order to
be counted as match, all contributions must be relevant and support the
implementation of the project.
19.
Indicate if at least one (1) individual from the nonprofit organization and two
(2) individuals who reside within the boundaries of the
neighborhood organization attended an application workshop. Indicate the date of
attendance.
20.
Provide the full name of the person who completed this application.
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