Kindness Investment Program Application 2023

Kindness Investment Program Application 2023

 

Please complete the following form, giving as much information as possible.

 

Contact Information

 

Date of Application:

 

Name of organization:

 

Mailing Address:

 

 

Contact Person, title:

 

Phone number:

 

 

Email:

 

 

Project title:

 

Dollar Amount Requested:

 

Project Dates:

 

Total Projected Budget:

 

Agency/Department Annual Operating Budget

 

Other Sources of Project Revenue:

(Please list all confirmed & pending sources)

 

 

 

Date when funds are needed:

 

 

Organizational Structure

 

We are an informal group – we do not have any formal legal structure.  Yes  □      No    □

 

We are an informal group but have partnered with a non-profit/fiscal agent.  Yes  □      No    □

 

Organizations Name and Federal Tax Identification Number: ______________________________________

 

We are a 501 (c) (3) non-profit.  Yes  □    No    □ 

 

Organizations Federal Tax Identification Number: ____________________________

 

We are a public agency/unit of government.  Yes  □ No    □

 

Organizations Federal Tax Identification Number: ____________________________

 

We are a for-profit entity.  Yes  □             No    □

 

Priority Alignment

Please indicate which UWSWMN priority area your project aligns with and briefly explain how your project aligns within the selected priority areas.

 

 

□   Health    □   Education   □   Financial Stability   □   Hunger   □   Safety & Well Being

 

Give a brief explanation of how the project aligns with UWSWMN priority areas:

 

 

 

 

 

 

 

 

 

Project Information

 

Give us a brief overview of this project and how grant funds will be used:

 

 

 

 

 

 

 

 

 

 

 

 

 

Confirmation

 

For our information, please specify where you heard about the KIP grant:

For us to process your application, please ensure you have the following:

 

 

By signing below, you are confirming the following:

  • You have read and understood KIP grant guidelines.
  • All the information supplied in this grant application is correct.
  • Agree to submit grant summary report within 30 days of project completion.

 

Signature:

 

Print name:

 

 

Date:

 

 

Editable Download Format here   /sites/unitedwayswmn/files/civicrm/upload/KIP%20Grant%20Application%20for%20Website.pdf