Laserfiche WebLink
Pbf%L.rP IAoppJ5 LI. $. A. -- <br /> Po.ezrfVE YOUTH DEVELOPmEnT Z~Z~ ~VE <br /> 3~1 ~PANT ~PP~ ~ON CHECX~5~ <br />To be surm ~bo~ you ~re ~ubmi'tt~g a compWtm fund~ requ~zt, phase c~eck off <br /> <br />Please attach o copy of th~k completed form to the front of your 2r~n! request. <br /> <br />Organization Name: <br /> <br />4-H SOS GOLDMINERS <br /> <br />For which grant category are you applying? (Check only one.) Summer Programs <br /> School°year Afterschaol Programs <br />[] Hunger Relief/Food-Related Expenditures (please use short form in place of narrative) <br /> <br />Which age group does this proposal serve? <br />~. i0-i2 year-olds <br />~, 13-I4 year olds <br />a High 5choolyouth <br /> <br />['Please select all that app/y.) <br /> <br />Grant Application Form (4//applicants must use the farm included in the application materials) <br /> <br />Proposal Narrative - no more than 4 pages (do NOT complete this if you are applying in the Hunger <br />Relief/Food-Related Expenditur~ category) <br /> <br />Attachment 1: Proposed Objectives, Activities, Timing, and Outcomes <br /> (please use the farm included in the application materials) <br /> <br />Attachment 2: Budget for this Request (please use the form included in the application materials) <br />Attachment 3: Funding Information (please use the form included in the application materio~s) <br />Attachment 4: Organization's annual operating budget, itemizing income and exp~nses. <br /> <br />Attachment 5: Copy of eRS determination letter, granting section 501(c)(3) tax-exempt status. <br />Attachment 6: Copy of the organization's most recent IRS Form 990. <br /> <br />Attachment 7: Certified copy of audited financial statements for the mast recently completed fiscal year. <br />Attachm~mt B: List of guard of Directors and their affiliated organizations <br /> <br />Attachment 9: Resumes or background statements of the organization's executive director and other key <br />project members. <br /> <br />Attachment 10: Board Approval (please use the form included in the application materials) <br />Attachment ll: Most recent annual report and other organizational material, if available. <br />Attachment l~: Diversity form (please use the form included in the application materials) <br /> <br />PM USa POSITIVE YOU'FH DEV~LOPaA~NY IN'rTI:,~TZVE j~ -- ~ ~ [001 G~.ANT ApPLICAI~ON <br /> <br /> <br />