Hardeeville Community Transformation Foundation Grant Application - Nonprofits
Please fill out the following questions as accurately and as thoroughly as possible in the space provided.
Please include with this application a list of your organization's Board of Director's, 3 years of your organization's Financial Statements and 1 copy of your most recent Annual Report.
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Are you a registered Charity with the Secretary of the State for South Carolina?
Please Select
Yes
No
Need to be registered
If Yes to above , please provide Your charitable number.
Charity or organization name
Are you a nonprofit, if so please provide a copy of IRS determination letter?
Yes
No
Need to be registered
Please upload a copy of the IRS determination letter.
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If a nonprofit, what type of nonprofit category is your organization?
Do you have a web page?
Please Select
Yes
No
We need one !
If yes, please provide the organization's web page.
Please provide addresses for all the organization's social media pages.
Contact E-mail
Contact Phone number
-
Area Code
Phone Number
Contact Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Executive Director or CEO Name
First Name
Last Name
Suffix
Executive Director or CEO Name E-mail
example@example.com
Executive Director or CEO Name Phone number
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Area Code
Phone Number
Number of Full Time Employees
Number of Part Time Employees
Number of Volunteers
Hardeeville Community Transformation Foundation Grant Application - Nonprofits
Project Details
Please state the mission/goals of your organization.
Name of the program / project:
Does the program / project meet one of the listed guidelines established by the American Rescue Plan Act of 2021 (ARPA)?
Yes
No
If so, please select the category in which the program / project supports.
Revenue replacement for the provision of government services to the extent of the reduction in revenue due to the COVID-19 public health emergency, relative to revenues collected in the most recent fiscal year prior to the emergency.
COVID-19 expenditures or negative economic impacts of COVID-19, including assistance to small businesses, households, and hard-hit industries, and economic recovery.
Premium pay for essential workers.
Investments in water, sewer, and broadband infrastructure.
Is this a new or existing program / project?
Please Select
New
Existing
Project Start Date
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Project End Date
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2021
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Year
Total funds required to complete program / project.
Amount of funding requested from Hardeeville Community Transformation Foundation?
Please describe the scope of this program / project.
Who will benefit from this program / project?
What is the need of this program / project?
Describe your plan of action including the methods you will use to evaluate the program / project.
Describe the capabilities of your agency to conduct the program / project and note special staff qualifications.
Describe how the program / project is innovated.
Do you intend to cooperate with other agencies or non-profit organizations on this specific program / project? If not, explain the reasoning.
How will the program / project be funded in the future?
What are the anticipated outcomes of the program / project and will the outcmes be measured?
What specific items would be covered by a grant from the Hardeeville Community Transformation Foundation?
How do you propose to publicly announce the grant award and how will you recognize the grant from the Hardeeville Community Transformation Foundation?
Grant recipients will have the responsibility of providing quarterly reports on the Program / Project. Will your organization have the ability to provide routine reports that shows the detail of the Program / Project and the related expenses?
Yes
No
List all grant received from any funding source during the past five years (include date, amount and purpose).
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Hardeeville Community Transformation Foundation Grant Project - Nonprofits Program / Project Budget Section
Details
Total program / project cost
Cost of materials
Salaries/benefits
Cost of supplies
Professional fees
Travel fees
Other costs
Hardeeville Community Transformation Foundation Grant Project - Nonprofits Funding Secured and/or Applied for
Details
Total project funding required for year one of the program or project.
What is your “time frame” to obtain the funding required?
Please specify Number of Months.
Number of other funding partners
Please list primary partner names, contacts and funding details.
Other primary partner funding dollar amounts
Please list other secondary partner name, contacts and funding details.
Other secondary partner funding dollar amounts
Please list any additional partner names, contacts and funding details.
Other additional partner funding dollar amounts
Is there a government partner, if so please provide contact and funding details?
Government funding dollar amount
Is there any general public funding, please provide details ?
Public funding dollar amount
Program / project support documents
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The information provided by applicants in this form shall not be shared to anyone else other than the applicants organization and contacts and directors , commitee members and other participants in the Grand Bend Community Foundation. Public information will only be released if the grant application has been accepted and and agreed to fund by the Grand Bend Community Foundation.
I agree that the information herein are true and correct
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