Time Limited Grants Funding Application: Cover Sheet

RCRV Annual Grant Letter of Application: Cover Sheet

Agency Name:

Focus Area: Engaging Baby Boomers and/or retirees as volunteers.

Outcome:

Program/Project Name:

Street Address:

City, State, Zip:

Contact Person:

Email Address:

Phone Number:

Date Submitted:

Funding Request ($1000 - $15,000): $

Please give a brief description of the program/project and how it aligns with the selected area of focus:

Signature of the Executive Director:

Signature of the Chair of the Board:

Signature of the RCRV Member endorsement:

Completed forms will be accepted no later than COB. on Thursday, March 31, 2016 by mail or via email mailto:[email protected]. RCRV Annual Grant Letter of Application: Narrative

Please briefly address the following topics (limit two pages):  Description of the program/project  Description of the problem or barriers the program/project will address  Target population served by the program/project  Expected outcomes from the program and how the funding will be used.

Please provide documentation of non-profit status.

Completed forms will be accepted no later than COB. on Thursday, March 31, 2016 by mail or via email mailto:[email protected].