2017 JSLB Grant Fund Request Form

The Junior Service League of Beaufort proudly granted out $16,000 last year to local organizations committed to making a positive impact in our community. Through the proceeds raised from both our fall and spring fundraisers, our goal is to meet and exceed that amount for this year.

Requests for funds shall be accepted from non-profit 501(c)3 organizations that complement our mission to support and enrich the lives of women, children, and families in our community. This is a one-time grant. Organizations must reapply annually.

Applications for funding must be emailed or postmarked by Saturday, April 1, 2017.

Please include the following information:

1. Completed Request Form

2. Current organizational budget and most recent Form 990 (If applicable)

3. Copy of 501(c)(3) tax exemption status letter from the Internal Revenue Service

4. Project Budget – (Spreadsheet attached)

5. List of organization’s current staff and board members.

Please do not hesitate to give me a call if you have any questions or need additional information. We look forward to learning more about the wonderful work going on in our community!

Sincerely,

Marlena Mattingly

(270) 313-7542 [email protected] Ways & Means Chair, 2016-2017 Junior Service League of Beaufort JSLB Grant Fund Request Form

Requests must be emailed or postmarked by Saturday, April 1, 2017 for consideration, and must be limited to 8 pages. Upon receiving all qualified applications, the JSLB Ways & Means committee will review and make the grant award(s) in May 2017. Please send the completed Request Form to: [email protected] OR Junior Service League of Beaufort c/o Ways & Means Committee PO Box 1964 Beaufort, SC 29901

Please answer the following questions regarding your organization and project 1. Name of Organization:______

2. Contact Person/Title:______

3. Address:______

4. Phone:______Email:______

5. Federal Tax ID #: ______

6. Provide a brief history/description of organization:

7. Please describe how your organization benefits our local area. 8. Please describe the project for which these funds are requested and how it might align with the JSLB mission: “The Junior Service League of Beaufort (JSLB) is an organization of women committed to promoting volunteerism. Membership in JSLB offers an opportunity to build meaningful relationships with others who share a desire to give back to our community. Through the talents of our diverse membership we will support and enrich the lives of women, children and families in our community. Together we have a greater impact than we do individually.”

9. What is the projected cost for this project?

10. What is the total amount requested from JSLB?

11. Specifically, how will funds from JSLB be utilized? (Please also include a budget that shows specifically how funds will be used as referenced in Question #20.)

12. What other funding sources and amounts are being sought for this project? 13. If JSLB can only support a portion of the projected cost, will the project still run?

14. Who is ultimately responsible for this project’s success?

15. What are the proposed outcomes of this project? (if the program has run in the past, please also provide the outcomes that were a result of the project in the previous year(s))

16. Please provide at least two qualitative benefits of this project to the community.

17. What is the length of the project? 18. What geographic area will benefit from this project and how many people will be served?

19. What are the demographics of those that will benefit from this project?

20. The following attachments are required with this application:

A. Organizations current budget and most recent Form 990 (If applicable)

B. Copy of Form 510 (c) (3) letter from the Internal Revenue Service

C. Project Budget – Include all sources of revenue and expenses for this project, showing specifically how requested grant funds from JSLB will be used. (Spreadsheet attached)

D. List of organization’s current staff and board members