Grant Application - De Groot Family Foundation

You may apply online below, or download the application and mail in.

Download Application
The pdf file will open in a new tab for you to download and/or print.

When applying online, please make sure to have all of your attachments ready to go in order to submit the complete application. See Narrative and required Attachments at the bottom of the application.

Apply Online:

Date of Application*
MM slash DD slash YYYY
Legal name of organization applying:*
(Should be same as on IRS determination letter and as supplied on IRS Form 990)
Year Founded:*
Current Operating Budget:*
Executive Director:*
Email Address:*
Contact person/title/phone number:
(if different from executive director)
Contact person Email:
(if different from executive director)
Address
(principal/administrative office)

Street Address Address Line 2 City State ZIP Code
Phone Number*
Fax Number
Web Address
List any previous support from this funder in the last 5 years:
Project Name:*
Purpose of Grant (one sentence):*
Dates of the Project:*
Amount Requested:*
Total Project Cost:*
Geographic Area Served:*
Narrative
Executive Summary*
Begin with a half-page executive summary. Briefly explain why your agency is requesting this grant, what outcomes you hope to achieve, and how you will spend the funds if the grant is made.
Purpose of Grant*
(Use the following bullets to assist in completing this section if applicable)
• Statement of needs/problems to be addressed; description of target population and how they will benefit.
• Description of project goals, measurable objectives, action plans, and statements as to whether this is a new or ongoing part of the sponsoring organization.
• Timetable for implementation.
• List of other partners in the project and their roles.
• List of similar existing projects or agencies, if any, and explain how your agency or proposal differs, and what effort will be made to work cooperatively.
• Description of the active involvement of constituents in defining problems to be addressed, making policy, and planning the program.
• Description of the qualifications of key staff and volunteers that will ensure the success of the program. List of specific staff training needs for this project.
• Long-term strategies for funding this project at end of grant period.
Evaluation*
Plans for evaluation including how success will be defined and measured.
Organization Information*
• Brief summary of organization’s history.
• Brief statement of organization’s mission and goals.
• Description of current programs, activities and accomplishments.
• Organizational chart, including board, staff and volunteer involvement.
Attachments
A copy of the current IRS determination letter indicating 501(c)(3) tax-exempt status.*
Accepted file types: pdf, Max. file size: 10 MB.
• Organization’s current annual operating budget, including expenses and revenue.*
Accepted file types: pdf, Max. file size: 10 MB.
• Most recent annual financial statement (independently audited, if available; otherwise, attach Form 990).*
Accepted file types: pdf, Max. file size: 10 MB.
Annual report, if available.
Accepted file types: pdf, Max. file size: 10 MB.
Signature
Filling in the name, title, and date fields below constitutes your signature.
Name*
First Last
Title*
Date*
MM slash DD slash YYYY

Apply Online:

Narrative

Attachments

Signature