Fillable Community Impact Grant Application (CITY OF FOREST GROVE)

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Community Impact Grant Application (CITY OF FOREST GROVE)

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The Community Impact Grant Application (CITY OF FOREST GROVE) form is 9 pages long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for CITY OF FOREST GROVE

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Organization/Contact Information
Organization Name: ____________________________________________________________________
Address: _____________________________________________________________________________
City: _______________________________ State: ______________________________ Zip: _________
Mailing Address: _______________________________________________________________________
City: _______________________________ State: ______________________________ Zip: _________
Contact Person: _______________________________________________________________________
Phone Number: ______________________ Email Address: _____________________________________
Agency Mission Statement:
Agency Fiscal Year End: ____________________ Agency Federal Tax ID (EIN)#: ____________________
COMMUNITY IMPACT GRANT APPLICATION
1
priority area of community concern in Forest Grove.
Describe
your proposed project or program in detail and specifically
indicate
how it
will address
a 2.
Is this a new
project
or
program or an existing one?1.
Project/Program Title: __________________________________________________________________
Application Questionnaire
2
community concern?
Does it fill a gap in current services?
How is your project or program integrating innovative, creative approaches to addressing this 3.
3
4. How will the project or program include collaboration with other community partners, including relevant
City departments like Police, Parks and Library? Please describe any financial partnerships in detail.
4
5. Describe how the organization plans to reach individuals and families the project or program intends to
serve, including any diverse or special needs communities.
5
6. Describe how funding for the project or program will be financially sustainable. How will the program
continue when the Impact Grant ends after three years?
6
7. List and detail the measurable outcomes and deliverables of the project or program. Additionally, how will
you track and report success on a weekly, monthly and annual basis?
7
dedicated to the initiative).
in addressing related issues and their anticipated roles in this initiative
(including percentage of time
8.
Provide a
brief
summary of key personnel and partners including their experience and skills, previous work
8
9. Provide a basic overview of grant implementation activities tied to project/program budget.
9
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Community Impact Grant Application (CITY OF FOREST GROVE)

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Completed 15 July 2020

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