JUNIOR LEAGUE OF GREATER ELMIRA CORNING
COMMUNITY GRANT APPLICATION

Please complete this form online, then print and mail two copies to the address at the bottom of the page.
Organization Name:
Address:

Executive Director: Phone Number:
Contact Person: Phone Number:
Project Name:
Funds Requested from the Junior League: $
Junior League Project Coordinator or Sponsor:
The Grants Committee of the Junior League of Greater Elmira Corning will conduct a follow-up annual review of all projects for which it provides partial or whole funding. Organizaitonal input and cooperation will be required.

Please note that the Junior League policy requires that at least one League member serve in a volunteer capacity at any organization or agency that receives project funds. Please list and describe volunteer opportunities provided by this project.

PROJECT INFORMATION NEEDED

1) Background: Summary of your organization's functions and your objectives/mission statement.


2) Summary of project for which funds are needed:
Describe what you plan to achieve, whome the project will serve and how many persons it will effect.


How will it be done (What is the methodology)?


How will you know the intended results have been achieved? What is your measurement standard? What is your timeframe?


If your project continues beyond the present funding period, what are your plans for obtaining future funds?


3) Please attach proof of your organization's not-for-profit status (e.g. 501-c3).

4) Prior Applications: Please list any previous applications you have made to this Junior League. Provide the year of the application and whether your request was accepted or rejected.

5) Please provide the following financial information:
Budget for this project: $
Funds requested for this project: $
Date of project: from to

INCOME:
a) Fundraising Events $
b) Corporate/Business Support $
c) Foundation Support $
d) Other Private Support (Individual or Business) $
e) Federal Funds $
f) State Funds $
g) Municipal Funds $
h) Other Income $
Total Cash Income:
 $


EXPENSES: BUDGET: TO BE FUNDED BY JLGEC:
a) Personnel $ $
b) Fringes $ $
c) Consultants $ $
d) Rent & Utilities $ $
e) Communications $ $
f) Printing/Brochures $ $
g) Supplies $ $
h) Equipment $ $
i) Travel $ $
j) Other $ $

6) If the Junior League of Greater Elmira Corning, Inc. does not fund the full amount requested, how will the balance be raised?
Printed Name: Date Submitted:

Signature: ______________________________________
Please print and sign two copies of this form and send to:
Chairperson, Grants Committee
Junior League of Greater Elmira Corning
P.O. Box 3150
Elmira, New York 14905

Click here to print this form.