<p>Social Justice Grant Application APPLICATIONS DUE Monday, April 24, 2017</p><p>Applicant Contact Information Name Street Address City ST ZIP Code Preferred Phone E-Mail Address</p><p>Organization Contact Information Organization Name Contact Name Mailing Address Street Address City ST ZIP Code Main Phone E-Mail Address Website</p><p>Amount of Aid Requested - $ Is this aid requested for an on-going need or an immediate time-sensitive need?</p><p>___ Ongoing need ___ Time sensitive request</p><p>Tell us about the Organization Please answer the following questions as accurately as possible. Use a separate sheet if necessary. You may begin typing in the cell just after the question and it will expand to accommodate your answer.</p><p>What service does this organization provide? </p><p>Describe how the aid would be used. </p><p>Is this a new or existing objective/program? </p><p>If this grant is not received what impact will that have on the objective? How many people are served annually by this organization? What geographic area does the organization serve? What is the annual budget? What are other sources of financial support? </p><p>How would granting this request assist in corporal or spiritual works of mercy?</p><p>How might this grant have a spiritual impact upon you and/or the grant recipient?</p><p>Additional Requirements Please attach copies of an annual statement, references from within the community and anything else you believe would help us determine your eligibility for aid. Add any additional information you believe will aid us in our decision in the box below. It will expand to fit your comments.</p><p>Agreement and Signature By submitting this application, I affirm that the facts set forth in it are true and complete to the best of my knowledge.</p><p>Name (printed) Signature Date</p><p>Our Policy Applications are accepted throughout the fiscal year beginning on November 1st, but the final deadline for applications for the fiscal year July 1, 2016 – June 30, 2017 is Monday April 24, 2017. Grants may be awarded on a rolling basis throughout the year as funds are available. Six copies of the application should be submitted, and it is preferred that they be printed on both sides of the paper. Applications may be submitted to the parish office at this address: St. Thomas Aquinas Church and Catholic Student Center Attention: Social Justice Coordinator 2210 Lincoln Way Ames, IA 50014</p>