Fall Grant Cycle – Large Grant

Large Grant Applications are for grants larger than $500.

All applications will be reviewed by the Chosen Valley Community Foundation Board at their November meeting.
Grant recipient announcements will be made public in December.

Download and print the Large Grant Application here.
Completed applications must be post marked no later than October 30th and mailed to:
Chosen Valley Community Foundation
P O Box 552, Chatfield, MN 55923

You may also complete and submit the Large Grant Application below.

Chosen Valley Community Foundation Large Grant Application

Part I

General Information

* Organization Name

* Address

Street Address

Address Line 2

City

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State

ZIP Code

* Phone

* Email

* Contact Person

* Contact Person Title

* Project Director

* Project Director Title

* Total Project Budget

* Amount Requested

* Project Duration

Beginning and ending dates

* When are the funds needed?

Part II

Organization Information

* Date Established

* General description of the organization’s purpose and number of members

* Principal geographic area of service:

* Do you have an operating budget?

Yes

No

If yes, then what is the organization's fiscal year?

* Has the governing board approved a policy which states that the organization does not discriminate as to age, race, religion, sex or national origin?

Yes

No

* Does organization have FEDERAL tax exempt status?

Yes

No

If no, please explain.

If no, does organization have a fiscal agent?

Yes

No

If there is a fiscal agent, upload a copy.

Max file size is 268 MB.

* Does the organization have bylaws?

Yes

No

If yes, has request been authorized by the organization’s governing body?

Yes

No

If no, how long has this organization been in existence? And, how are decisions made?

Part III

Project Information

* Will your project serve the Chosen Valley community? Note: the Chosen Valley community is defined as the geographic boundaries that encompass the Chatfield School District. Grant applications are only considered for those projects that will serve the Chosen Valley community.

* Briefly describe your project.

* Grants are provided for projects that are charitable, religious, educational, scientific, literary, testing for public safety, fostering national or international amateur sports competition, and preventing cruelty to children or animals. The term “charitable” is used in its generally accepted legal sense and includes relief of the poor, the distressed, or the underprivileged; advancement of religion; advancement of education or science; erecting or maintaining public buildings, monuments, or works; lessening the burdens of government; lessening neighborhood tensions; eliminating prejudice and discrimination; defending human and civil rights secured by law; and combating community deterioration and juvenile delinquency. Please describe in detail how your project fits these criteria.

* Describe the demographic you wish to serve with your project and provide an estimate as to the number of individuals that could potentially benefit from your project.

* Please state when your project will occur. Note: Grants awarded must be used within one year.

Do you intend to raise funds with your project? If yes, describe how funds will be raised and how you intend to use the funds raised from the project.

* List and describe other sources of funding that you have sought out and or received for your project. If you have not sought out other funding, please state whether or not you intend to seek out the same.

* If you were to receive partial funding for your request, would you be able to carry out your project? If yes, please describe how you would do so (i.e. altering the specifics of your project, other sources of funding, etc.).

What other organizations/community leaders have you involved in the planning of the project? If you have involved others, describe what their involvement would be in carrying out the project?

Part IV

Financial Information

* Total cost of project

* Total Grant Request

* Line item detail for grant expenditure (total should equal sum listed in #2) (Please be detailed)

Other sources of support:

List source, secured amount, pending amount and total for each source.

CVCF does not fund continuous projects year after year. If your project is ongoing, please complete a three-year budget projection:

List source and amounts for year 1, year 2 and year 3.

Signature

Authorized Signature (Type name)

* Date

* Confirm this submission