Grant Proposal Form 2016-2017 Community Grants Application Rotary Club of Watsonville www.watsonvillerotary.com GRANT PROPOSAL INSTRUCTIONS Read the Grant Guidelines before completing the Grant Application Form. Press submit when finished. Include a copy of the program/project budget worksheet. You will receive an acknowledgement within five businesses days. Questions? Contact Kathleen King: firstname.lastname@example.org or call (831) 234-0062. Aplication must be e-mailed to email@example.com. I. ApplicantLegal Organization Name*Program Name*Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Fax*Website Date Founded* Executive Director*Email* Tax Status* 501()c(3) Public Agency Other/Describe Below Describe Tax StatusII. Application Contact Person (If different from Executive Director)NameTitlePhoneEmail III. Fiscal Sponsor (Leave blank if not applicable)Sponsor OrganizationAddress Street Address City State / Province / Region ZIP / Postal Code PhoneFaxWebsite Date Founded Contact NameEmail IV. Purpose of RequestProject Title*Project Contact Name*Title*Total Project Budget $*Amount Requested $*Grant Term (7/1/17-6/30/18)Proposed Start Date* End Date* Responses to the following questions are limited to the space provided. Please be clear and concise.1. Please indicate whether the proposed project/program is currently in operation or is a new project/program.* Exisiting Project/Program New Project/Program Provide a statement of the need or problem to be addressed. (approximately 600 characters)*Provide a brief description of the proposed project. (approximately 2,000 characters)*Please check which of Watsonville Rotary’s Areas of Interest your program or project addresses and specifically what goal(s) you are seeking to address.* Youth Violence Education Outreach Support Describe how your project will address one of Watsonville Rotary’s Areas of Interest. (Specific goals are outlined in the grant guidelines). (approximately 1,350 characters)*Describe how your project will specifically serve individuals in the Pajaro Valley, and approximately how many individuals will be served within the parameters of this project. (approximately 350 characters)*How will you measure and report the success of your program. Include your Expected Activities; Time Frames, Expected Outcomes; and Data Collection for Key Indicators (approximately 350 characters)*Budget Worksheet*Accepted file types: pdf, docx, xls, xlsx.Template to be used for proposed budget. This iframe contains the logic required to handle AJAX powered Gravity Forms.