Qualified-Grant Application | Kentucky Social Welfare Foundation

2020
GRANT APPLICATION TO
KENTUCKY SOCIAL WELFARE FOUNDATION

Grant applications to the Kentucky Social Welfare Foundation must be for a use that is consistent with the Foundation’s charter and its purposes as stated in 1947 by its founder Martha Davis:

“The purpose for which said corporation is formed is to assist in improving standards of living and opportunity among the poor, sick, unfortunate and vocationally handicapped persons residing in the State of Kentucky, particularly in rural areas, small towns and areas of special need, by helping to provide for them and their dependents, well organized and administered welfare and health agencies and other facilities, including demonstrations of progressive and effective methods, for self-help and training.”

“This is to be done through assisting organizations, already operating, to enlarge and broaden their scope of operation, and/or through assisting in the setting up of new projects to provide services which no agency, already in operation, is planned or equipped to extend.”

The deadline for applications are March 1 and September 1.

Name of Applicant Organization*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Fax

Email Address*

President or Executive Director*

First Last

Contact Person if not President or Executive Director

First Last

Contact Person Title

Grant Request ($ Amount)*

Project Title*

Project Begin Date*

Project End Date*

Signature

I,

Name*

First Last

*

President
CEO

of the applicant organization state that I am authorized to sign and submit this application and that all statements, facts, figures and representations made in the application and attachments are true, that any funds awarded as a result of this grant will be spent in accordance with the attached budget to implement the described project and in accordance with any special conditions established by the Kentucky Social Welfare Foundation, that all applicable federal and state laws and program procedures will be implemented to insure proper project management and fiscal control to assure accountability of grant funds, and that a final report describing how the project met its intended purposes (including the number of beneficiaries and other objectives accomplished) will be submitted within 13 months to the Kentucky Social Welfare Foundation. Applicant hereby agrees to indemnify the Kentucky Social Welfare Foundation from any liability or loss arising from the implementation of this grant. The applicant further agrees to return to the Kentucky Social Welfare Foundation any awarded funds that exceed the actual cost of the above project. Applicant acknowledges that failure to adhere to all conditions may result in forfeiture and return of all grant funds.

Signature*

Date*

Failure to provide requested information may result in application being disqualified.

PROJECT DESCRIPTION AND BUDGET

1. Describe the proposal in a detailed narrative of services and benefits it will provide in improving standards of living and opportunities, meeting social purposes or responding to needs.*

2. Attach your Project Budget.*
BEFORE UPLOADING, please name your pdf in the following manner, beginning with the date of upload followed by the letters "PB" and the organization name (or an abbreviated version of it):

mm.dd.yyyy.PB.nameoforganization
ex: 06.07.2018.PB.peoplescharity
Accepted file types: pdf.

3. Provide a narrative that clearly defines how Kentucky Social Welfare Foundation funds will be used and accounted for in relation to the Narrative above. Provide the start dates and timelines for tasks.*

AGENCY DESCRIPTION

4. Describe your agency’s service area with regard to population, cultural, racial and ethnic makeup.*

5. Indicate total number of paid staff and total number of volunteers.*

6. List the goals and objectives of your agency.*

REASONS FOR REQUESTING GRANT

7. Describe why this project is needed and how it implements the purpose of the Kentucky Social Welfare Foundation.*

8. How did you identify the need that is addressed by the proposed project?*

9. Does any other organization in your community serve this need?*

10. If so, what distinguishes your agency’s services from others?*

PROJECT FOLLOW UP

11. Describe how you will measure outcomes of this proposal.*

12. After the grant funds are expended, describe how you will assure continuation of grant-funded services or equipment maintenance.*

FINANCIAL INFORMATION

13. Attach your AGENCY BUDGET showing all financial resources.*
BEFORE UPLOADING, please name your pdf in the following manner, beginning with the date of upload followed by the letters "AB" and the organization name (or an abbreviated version of it):

mm.dd.yyyy.AB.nameoforganization
ex: 06.07.2018.AB.peoplescharity
Accepted file types: pdf.

14. What fees or charges are made by the organization for its services?*

15. What percent of the organization’s budget is used for fund-raising?*

16. What percent of the organization’s budget is used for administrative costs?*

17. If applicant has received prior grants from the Kentucky Social Welfare Foundation, provide dates, amounts, purposes and outcomes.*

18. Attach your IRS 501(c)(3) tax designation letter.*
BEFORE UPLOADING, please name your pdf in the following manner, beginning with the date of upload followed by the numbers "501" and the organization name (or an abbreviated version of it):

mm.dd.yyyy.501.nameoforganization
ex: 06.07.2018.501.peoplescharity
Accepted file types: pdf.

19. Attach your 990 or 990-PF federal tax return.*
BEFORE UPLOADING, please name your pdf in the following manner, beginning with the date of upload followed by the numbers "990" and the organization name (or an abbreviated version of it):

mm.dd.yyyy.990.nameoforganization
ex: 06.07.2018.990.peoplescharity
Accepted file types: pdf.

20. Attach any additional documents you wish to include with this application.
BEFORE UPLOADING, please name your pdf in the following manner, beginning with the date of upload followed by an abbreviation of the document's name and the organization name (or an abbreviated version of it):

mm.dd.yyyy.XYZ.nameoforganization
ex: 06.07.2018.XYZ.peoplescharity

Drop files here or

Accepted file types: pdf.