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Reference for
Online Application
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These questions are asked on the
online application. Please print this page for reference in
gathering your information.
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Cover Sheet |
Date of application
Name of organization to which grant would be paid
Project name: (short one sentence title)
Street address of organization:
City:
State:
Zip code:
Telephone number:
Fax:
E-mail:
WWW Address
General Contact -- your name
Prefix Mr./Ms./Dr./etc.
First name:
Last name:
Title Executive Director, Development Officer, etc.
Your phone number
Your E-mail
Is your organization an IRS 501(c)(3) not-for-profit? Or, are
you a recognized tax-exempt organization seeking support for
charitable purposes (e.g school district, U.S.
government agency or tribal government)?
Specifically, which type of organization are you?
Non-profit, school district, U.S. government agency or
tribal government.
Charity Federal Tax ID (we will verify this number against
the charity database at the IRS)
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Proposal
Summary |
The Charlotte Martin Foundation focuses on two program
areas, Youth (through Athletics, Culture and Education) and
Wildlife and Habitat. For category descriptions
and limitations, check the website under
Program Areas and FAQ and select one.
Project Objective and Description
Project timeline
Project staff
How will this project be sustained over time?
Why is this project important to your organization?
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Budget
Information |
You may also attach a budget in Excel format at the end of the
application, on page 5.
Amount you are requesting from the Charlotte Martin
Foundation (in dollars)
Total project budget (if requesting project
support)
Project Budget Detail (you may enter a short
budget information here if you do not have a budget to attach)
Total organizational budget: (for the current
year)
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Project
Information |
Sources of funding received over past 3 years for this and
other projects. Please specify.
Other sources of funding you are seeking for this
proposal.
Explain how you will measure the effectiveness of your project.
Describe your criteria for a successful program and the results
you expect to have achieved by the end of the funding period.
Describe community support for this project.
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Organization |
Mission statement of your organization.
A brief history of your organization.
Age Group your organization serves. We do
not fund preschool. Athletics, culture and education projects
must serve youth ages 6 through 21. The Wildlife and Habitat category has no
age restrictions.
Geographic Area Served (we fund in Washington,
Oregon, Idaho, Montana and Alaska)
Give brief examples of past work/projects of your
organization.
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