Fundamentals for Change Grant Application 1

REQUEST FOR FUNDAMENTALS FOR CHANGE FUNDING GRANT

COVER SHEET

Please print out and fill in. Or edit information directly on your computer.

Name of Organization:_______________________________________________________________________

Mailing Address: _____________________________________________________________________________

City: ___________________________________ Country: ___________________ Postal Code:___________

Telephone: __________________________________

Contact Person: ____________________________ Title in organization: ________________________

Total Amount Requested: _________________________ (in local currency)

Project Title: ________________________________________________________________________________

Required Attachments (Check off when completed)

□ Project Description
□ Proposed Budget
□ Key Project Leaders
□ Organizations Mission Statement

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Fundamentals for Change Grant Application 2

PROJECT DESCRIPTION – Make sure you cover the following checkpoints. Take as
much space as you want to fill in the details.

□ Brief statement of problem to be addressed

□ Brief statement of proposed project
□ Goals and objectives – Why do you want funding for this project? What do
you hope to achieve by this project?
□ Target population – Who will benefit from the project?
□ Project activities – What will go on once funding is approved?
□ Timeline – How long will it realistically take to finish project? How long will
finished project be utilized for?
□ Plan for measuring project results:
How will you keep track of of the project is reaching it’s potential and being used
appropriately?
EX. Submit a project report upon completion. Keep detailed accurate, complete
records of expenditures. Have trusted community leaders (ex. Mr. Rowe) to
overview project and financials to give a reference for Youth Club.

Problem:

Proposed Project:

Goals and Objectives:

Target Population:

Project Activities:

Timeline:

Measuring Project Results:

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Fundamentals for Change Grant Application 3

PROJECT BUDGET:

□ Make a list of costs to complete project. Gather quotes or estimates on

purchases to built an accurate budget.

*If approved, it is up to your organization to maintain within your estimated

budget. No further funding will be provided if original grant funds are misused or
if project goes over. If project goes over budget, a new proposal will have to be
approved, stating why original funding was not enough. So it is important to
remember to think of all unexpected costs (ex. Labour, transportation, electricity
bills, concrete etc that you may encounter)

□ Include all written quotes and estimates.

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Fundamentals for Change Grant Application 4

KEY PROJECT LEADERS:

In this section, please list three (3) key leaders in your organization who will help
oversee the project.

1. Full Name and preferred nickname: ________________________________

Age: _______ Title in Organization: ___________________________________
Aspect of project you will focus on: _________________________________
Tell us something about you: ________________________________________

2. Full Name and preferred nickname: ________________________________

Age: _______ Title in Organization: ___________________________________
Aspect of project you will focus on: ________________________________
Tell us something about you: ________________________________________

3. Full Name and preferred nickname: ________________________________

Age: _______ Title in Organization: ___________________________________
Aspect of project you will focus on: ________________________________
Tell us something about you: ________________________________________

info@fundamentalsforchange.org | 778.554.9300 | fundamentalsforchange.org