This application is provided for informational purposes only. The deadline to apply for 2007 funding has passed. Please do not submit an application.
Directions: Please re-type items 1-14 and your narrative on your computer in the order below. Add the required attachments. E-mail the completed application with attachments to info@womensfundms.org or save them to a computer disc and mail to 525 East Capitol Street, Suite 5B, Jackson, MS 39201. All applications must be received prior to 4 p.m. February 15, 2007.
1. Organization Name: ________________________________________________________
2. Address: _________________________________________________________________
3. Tax ID Number ________________ Phone: ________________ Fax: ________________
4. CEO: ____________________________________________________________________
5. Contact Person: ___________________________________________________________
6. Email: ___________________________________________________________________
7. Project Title: ______________________________________________________________
8. Number of participants expected for the program/project: _______
9. Amount Requested: $__________
10. Minimum Amount Required: $___________
Occasionally, the Women's Fund cannot fully fund a specific application due to our limited resources but may still wish to support the project with a reduced level of funding. For instance, an organization may request $5,000, but the approval of other applications has used all but $3,000 of the total amount available for granting at that time. Under these circumstances, what is the minimum level of funding you would require from the Fund to continue your project. If it is the full amount requested, repeat that number here. If it can be done with less funding, please type here the lowest amount you will accept. If that is "any amount," simply write "any amount." Please be aware that your application will not be considered for less than that amount. In other words, using again the hypothetical amounts noted earlier in this description, if you ask for $5,000 and also list $5,000 here as the minimum amount acceptable, but only $3,000 is available, your application would automatically be denied because we would be unable to fund your minimum level.
11. Project time period of operation (such as June 5-10 or April-December): _______________________
12. Geographic location of project participants (such as South Jackson or citywide or Madison Avenue Middle School attendance zone): ______________________________________________
13. List all other sources of funding to which the organization has submitted applications for support on this project.
14. If funding from the Women's Fund is not approved for this project, will it still take place? ___ Yes ____ No
Narrative:
Please provide a succinct summary (one page or less) telling:
A. Specifically how you plan to use a grant from the Fund,
B. How this use will benefit women and children in our community, and
C. Approximately how many people will benefit.
Also required on additional pages:
Please format your application, narrative, budget and board information into one electronic document. The budget, if formatted as a spreadsheet, may be copied and inserted into the word processing document used for the other materials. Please note, you are to cut and paste the items into one document to send to the Fund. Do not attach each one separately as four separate documents.