Grant Application Form - Kjellstrom Family Foundation

The Kjellstrom Family Foundation Grant Application

Applicants are encouraged to save application information to be submitted. Completed applications will not have a print option. Please also be aware that the application, once opened, cannot be saved and edited at a later date. Please be thorough yet concise in describing the program/project to be funded, including all collaborating partners and their role in your program/project. Please also add to the list of financial information desired "a one-page grant program/project budget.

The application must be submitted by 5 p.m. on the deadline date.

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Organization Name:

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Address:

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City:

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State:

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Zip:

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Contact Person:

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Phone Number:

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Fax Number:

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Email Address:

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Organization Mission

Summarize the organization's mission:

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Funding Request

Describe the program, project, grant match or endowment challenge for which funds are currently sought and the grant amount sought:

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What is the total goal of this fundraising activity?

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Amount of Grant Request:

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Please attach to this application the project budget for the funds being requested:
(Accepted file types: pdf, doc, docx, xls, xlsx, or txt)

Project Budget (include ONLY the revenue and expenses specific to the proposal):(*)

Please upload one of the accepted file types: pdf or xls

Narrative (Explain each line and how you calculated the total):(*)

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Sustainability/Reaching the Goal

If the grant does not provide full funding for the program, project or grant match, please describe how the goal will be reached:

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Internal Organizational Commitment

What percentage of board members made a financial contribution the past fiscal year?

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What percentage of board members are active in fundraising?

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On an annual basis, how many volunteers, excluding board members, are active in your organization?

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Please attach to this application the names of:
(Accepted file types: pdf, doc, docx, xls, xlsx, or txt)

The current chief executive(*)