Mid County Neighborhood Initiative Mini Grant Application
One Page Cover Sheet (containing the following information)
Organization Name
Organization Type: ___ not for profit; _____ community or civic; _____ government
Address
Telephone and Fax Number
Web Address and/or Email Address
Director and/or Contact Person
Grant Request $
Grant Period: March 1, 2003 through June 30th, 2003
Project or Program Title:
Summary of project or grant request in two or three sentences
Original Signature of Person Authorized to Act on Behalf of the Organization (blue ink)
Brief Narrative (No more than five pages, no attachments of any kind)
Introduction and Background
Describe your organization's history, purpose or mission; and major accomplishments.
Describe current program and activities that serve children, youth and families.
Describe how program participants benefit from the work of your organization.
Description of Proposed Request
Describe the specific neighborhood or area in the Mid-County Initiative that you will serve
Describe the children and youth participants (ages, school grades, any other characteristics)
State what problems, needs or issues your request will address
Describe how your proposed activity will address the problem, needs or issues
Describe what you propose to do with this grant funding
Describe the tasks and timeline for carrying out your proposed activities
Where will activities occur and how will you ensure the safety of participants
How will your request benefit children involved in after school activities; how will you measure the benefits
Budget (Use the provided format to submit your budget)
Budget for the period through June 30th, 2003
|
Item |
Expenses |
|
|
Salaries and Wages |
Amount |
FT/PT |
|
Ex. Coordinator |
$ |
FT |
|
Ex. Assistant |
$ |
PT |
|
|
$ |
|
|
|
$ |
|
|
|
$ |
|
|
Fringe Benefit and payroll taxes |
$ |
|
|
Consultant & Professional Fees |
$ |
|
|
Travel |
$ |
|
|
Equipment |
$ |
|
|
Program/Office Supplies |
$ |
|
|
Other (please specify) |
$ |
|
|
|
|
|
|
Total Expense |
$ |
|
Guidelines for applicants
Proposals are due February 28th, 2003 at 3:00 p.m.
Proposals must have a completed cover sheet with original signature, narrative, and budget to be accepted and considered.
Use a standard black typeface no smaller than 12 points, single spaced text and single sided letter sized-paper. Put page numbers on each page. Staple the proposal in the upper left hand corner.
Proposal must be delivered to the Mid-County Regional Services Center, 2424 Reedie Drive, to the attention of:
Stephanie Jennings, Mid County Neighborhood Initiative Project Coordinator
Email: Stephanie.Jennings@co.mo.md.us
Phone: 240-777-8114
Melodye L. Watson, Program Monitor
Email: Melodye.Watson@co.mo.md.us
Phone: 240-777-4379
For technical assistance on completing this grant application, contact the following Montgomery County Collaboration Council for Children, Youth, and Families personnel: Stephanie Jennings, Mid County Neighborhood Initiative Project Coordinator or Melodye L. Watson, Program Monitor.