Grant Application - Kilian Schmitt Foundation

Step 1 of 5 - Contact Information

Executive Summary
Organization Name*
Project/Activity Name*
One sentence summary of the project/activity*
Why is there a community need?*
Who and how many people (target population, age, gender, ethnicity, other)*
What services are provided?*
When (timeframe)*
Where (location of the work)*
What do you hope to accomplish (outcomes)?*
How does this request meet this funder's priorities?*
Total cost of this effort:*
Amount requested from this funder:*
Signature of CEO*
By typing my name below, I confirm that I am an authorized by my organization to submit this application, and that the information provided is true and correct to the best of my knowledge.
Signature of a board representative (chair or president)*
By typing my name below, I confirm that I am an authorized by my organization to submit this application, and that the information provided is true and correct to the best of my knowledge.
Financial summary of your organization's most recently completed fiscal year*
including the original budget and the actual revenue and expenses for that year.
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Accepted file types: jpg, jpeg, png, pdf, docx, xls.
If you are a 501(c)(3) organization, a copy of the IRS determination letter
advising that your organization is exempt from taxes under Section 501(c)(3) of the IRS code, and that the organization is not a private foundation as defined in Section 509(a).
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.
List of the organization's Board of Directors*
with their affiliations.

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Organization Information
Name of Organization*
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Fax
Your Email*
Enter Email Confirm Email
Name of Chief Executive*
First Last
Title*
9-digit Federal Employer ID:*
Year incorporated:*

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Application

Step 1 of 5 - Contact Information

Executive Summary

Organization Information

Information for This Request

Rochester Area Logic Model

Rationale