Community - DIAD Application

Organization Info

Organization Name:

Contact Person:

Title/Position:

Phone Number:

Email Address:

Organization's Website:

Physical Address:

UPLOAD COPY 501(c)(3) IRS DETERMINATION LETTER HERE

Is the applicant and/or organization associated with the Junior League of Sarasota in any capacity? (For example, is the person submitting the application on behalf of the 501c3 a JLS member?) Select ... Yes No

If yes, please specify:

Have you worked with JLS in the past on other projects? Select ... Yes No

If yes, please specify:

Provide a brief overview of your organization’s mission, background, and work in the community.

Project Details:

Project Name:

Briefly describe your requested project.

Explain the need the project will meet.

Who will be most impacted by your project?

Is the project request date-specific? Select ... Yes No

If yes, please provide the specific date(s) or time frame:

Specify the days of the week and hours of day when project completion will be possible. (For example, can the project be completed on a weekend or only on weekdays during business hours?)

Does the project require JLS funding? Select ... Yes No

If yes, how much?

Will your organization provide any funding for this project? Select ... Yes No

If funding is needed, please provide a line item breakdown of the project budget, including both funding requests from JLS and items to be provided via other funding sources. Describe in detail what will be purchased with the allotted funds.

Physical Transformation Details

Does your project involve a physical transformation? (This might include having volunteers renovate, install, organize, clean, garden, paint, build, or update a physical space.) Select ... Yes No

IF YES, please describe the space where the transformation is needed, including details about its current size and condition. Include photos and/or a video if possible.

Share your vision for the finished project and how it will be used.

List the supplies (if any) that your organization is able to provide to achieve the finished goal. (Examples: tools, cleaning supplies, donated items.)

Are you providing supplemental humanpower for the physical work?

Upload photos or other media of the current space. You can also send files to diad@jlsarasota.org

Volunteer and Coordination Details

Does the project require JLS volunteers? Select ... Yes No

IF YES - What are specific tasks JLS volunteers would need to complete? how many volunteers are needed to complete the project? How many hours are needed to complete the project?

Does your project require JLS coordination and planning, or will the project planning be handled solely by your organization? Select ... Yes, we would like JLS help with planning/coordinating No, we will handle the planning/coordinating portion

Do you have recurring or date-specific volunteer shift opportunities as well? Please describe.

Supply Drive (if appicable)

Does your project involve a supply drive? Select ... Yes No

If yes, what types of supplies will be collected?

How will the supplies be used by their recipients? Describe the need they will be meeting.

What are the quantifiable goals for the supply drive? (Example: to provide 100 backpacks for at-risk youth.)

Do you need volunteers to prepare/bag the supplies? Select ... Yes No

How will the supplies be distributed?

Impact & Outreach

Briefly describe how completing this project will impact the community.

How will you quantifiably measure the impact of the project? Please provide at least one measure.

How will you inform the community of the project, including recognizing the Junior League of Sarasota?

Please add anything else we should know about outreach potential and community presence.

Additional Comments?

Agreement

By completing this application, I agree that if selected, I will cooperate with providing JLS with all necessary project information during the planning and execution of the project, as well as provide details once the project is complete, including but not limited to completing our project completion questionnaire.

Name (First, Last) & Title

Date

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