Applicant *
Applicant
Address *
Address
Fiscal Sponsor Mailing Address
Fiscal Sponsor Mailing Address
$
Refer to the application guide for further detail on our funding criteria.
Please indicate whether this partnership is ongoing or whether this is a new partnership formed for your proposed project. Note that a letter of support is required from each partner organization.
Describe how the requested funds will be used. Also describe any leveraged or donated resources. This could include volunteer time, in-kind donations, or other funds being sought or used for this project.
Who will your outreach target and how do you plan on reaching them?
Include your expected start and completion dates and any major project milestones.
*Leveraged funds include additional dollars support this project - for example, additional grants or direct support from your organization. **Donated services and time can include estimated dollar amount of in-kind donations and/or general volunteer hours at $18/hour.
Include in-kind services.
$
Requested funds to be spent on personnel (project management, contractors, volunteer time, etc).
$
Leveraged funds/Additional grants or Donated Services/Time to be spent on Personnel (indicate which if applicable).
$
Requested funds to be spent on flyers, brochures, etc.
$
Leveraged Funds/Additional Grants or Donated Services/Time to be spent on Promotional Materials (indicate which if applicable)
$
Requested funds to be spent on event-related expenses such as renting tables/chairs, food, etc.
$
Leveraged Funds/Additional Grants or Donated Services/Time to be spent on Event-Related Expenses (indicate which if applicable)
$
Requested funds to be spent on permitting and fees, such as reserving parking space, street closures, etc.
$
Leveraged Funds/Additional Grants or Donated Services/Time to be spent on Permitting and Fees (indicate which if applicable)
$
Requested funds to be spent on travel costs, stipends, etc.
$
Leveraged Funds/Additional Grants or Donated Services/Time to be spent on Participant Support (indicate which if applicable)
$
Amount of requested funds to be spent on any material needed to complete the project such as wood, paints, art supplies, etc.
$
Leveraged Funds/Additional Grants or Donated Services/Time to be spent on Project Materials (indicate which if applicable)
$
Requested funds to be spent on any additional expenses not included in the above categories.
$
Leveraged Funds/Additional Grants or Donated Services/Time to be spent on and Additional Expenses (indicate which if applicable)
$
Requested funds to be spent on fiscal sponsorship, administrative project management, accounting, etc.
$
Leveraged Funds/Additional Grants or Donated Services/Time to be spent on Administration (indicate which if applicable)
$
Please indicate the total amount (if any) of any additional grants that you will be using to support this project and which budget category they will be used for.
Please indicate the total amount (if any) of donated services and time, including support from your organization, that you will be using to support this project and which budget category they will be used for.
If you are a registered non-profit organization or will receive fiscal sponsorship from one, put the IRS non-profit tax ID number here. Note that NECN will grant fiscal sponsorship to any successful applicant that does not otherwise have it.
You will need to email a copy of your letters of support from each partner organization describing the nature of your partnership.