The Highland Park Community Foundation (HPCF)

 

Grant Application Form

 

Name of organization
Amount requested
Amount of last year's grant
Total program cost
Organization address
Organization phone number
Contact name
Contact title
Contact phone number
Contact email address
Please give your organization's mission statement
 
From the standpoint of your mission, what do you see as the most pressing or urgent need of:
          our community 
 
          your organization or program
 
Please describe this program:
          Goals, objectives, and name of program manager
 
          Population served and number of clients served by this grant
 
          Location/address where services are rendered
          Problem to be addressed by grant monies. A grant provides a solution to a problem.
                    1. Problem to be addressed
                    2. Describe program
                    3. Objectives to be accomplished                 
 
          How long in operation?
 
How has the community been meeting these needs prior to your program?
 
How does the program benefit from the use of volunteers?
 
What funding sources have supported this program? Please show amounts.
Why do you need additional funding?
 
What will be the evaluation process?
 
How will you demonstrate that your goals have been achieved?
 
 

Recipients of a 2007 grant, please include a report of how funds were used, if you have not already done so.
 
Please list current board members.
 
Please list staff members by title.
 
Please send by U.S. Mail copies of the following documents:
  1. 501 (c) 3 certificate, only if you are a new applicant.
  2. Most recent financial audit number
  3. Agency budget for 2008
  4. Line-item budget of program to be funded, if different from the above.

Mail to this address:

  Highland Park Community Foundation
  P. O. Box 398
  Highland Park, IL. 60035