Emergency Relief Fund Application
Organization Name:
Organization Name shown on 501(c)(3) letter:
Physical Address:
City:
State:
Zip:
Mailing Address:
City:
State:
Zip:
Name of Agency Director:
Agency Director Phone Number:
Agency Director Email Address:
Contact Person's Name:
Phone Number:
Contact Email Address:
Project Title and Brief Description:
Client Group to be Served:
Anticipated project period:
Amount Requested from the Junior League of The Woodlands, Inc.
Other funding sources (and amounts) applied to for this project:
Has your organization ever received volunteers and/or financial assistance from the Junior League of The Woodlands, Inc. or any other affiliate of the Association of Junior Leagues International?
If yes, when and amount:
INSTRUCTIONS
Please answer each question within the space provided. Please attach the following additional required information.
Copy of Treasury letter certifying your 501(c)(3) tax-exempt status.
Copy of your W-9
Grant Proposal is rated on a 1500 point scale. Values are noted in parenthesis. ( )
HISTORY (50) (Background and Organizational Capability Statement)
PURPOSE (250) (What will this project specifically accomplish?)
NEED (400) (What are the problems that this project will try to solve?)
APPROACH (250) (How do you plan to implement this project?)
EVALUATION (100) (What criteria will you use to determine that the project is working and that its goals are accomplished?)
OUR FUNDS (400) (Specifically, how will our funds be used?)
ANYTHING ELSE (50) (What else would you like us to know about this project or alternative projects?)
By checking this box, I agree that all information on this form is true and correct.
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