General Grant Application – Beaver County Foundation

Legal Name of Applicant Organization(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Executive Director/President/CEO Name and Title(Required)

Telephone(Required)

Fax

Contact Email(Required)

Enter Email Confirm Email

Year Organization Founded(Required)

Organization’s Total Operating Budget(Required)

Amount of Grant Request(Required)

Fiscal Agent (if applicable)

Name of Project(Required)

Project/Program Abstract(Required)

Brief summary of the project/program.

List Recent Grant Funding Sources

Project/Program Narrative(Required)

Describe history, need, design, objectives, and methods (2–6 pages).

Impact and Evaluation(Required)

Define success and share experiences.

Partners and Their Roles(Required)

How does the project improve community quality of life?(Required)

Sustainability Plan – Additional Support and Long-Term Plans(Required)

Alternative Plan if Grant is not Approved(Required)

Endorsement – Signature of Governing Board Chair/Executive Director(Required)

Endorsement – Date(Required)

Project/Program Budget Details

List items and amounts.

Grant Application 1819