Grant Application

& Detail Budget
P.O. Box 1128, Langhorne, PA 19047
  Improving the quality of life for people who live and work in Middletown  

FUNDING CRITERIA

The Middletown Community Foundation is a non-profit organization created to enhance the quality of life for individuals who live and work in Middletown Township. The Foundation’s mission is to promote and enhance the community’s quality of life by improving public service programs in partnership with other non-profit Middletown community groups.

All requests for grants from the Foundation must meet the criteria established in the by-laws. Grants can only be provided for programs that enhance the quality of life and benefit the community of Middletown Township.

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HOW TO APPLY

Grant applications are considered on an ongoing basis. Non-profit groups that meet the criteria outlined above are invited to submit a written proposal.

Please complete and submit the following grant form, Parts 1, 2, and 3. Some questions in Part 2 deal with information from the Part 3 Detail Budget, at which point you may want to scroll down and review or complete the Part 3 Detail Budget.

You can also print this form, complete, and mail to:

Middletown Community Foundation
PO Box 1128
Langhorne, PA 19047

Fax 215-750-9585
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Part I.
Please give us some information about the organization that will be responsible for the funds and providing oversight for the project.

* Required Field

* Name of Organization:

* Mailing Address:

*City:

*State:

*Zip:

*Contact Person:

Title:

* Phone (with area code):

*Email:

When was the organization founded?

Does agency have 501 (c) 3 status?

Yes      No

Is it tax-exempt?

Yes      No

Is the group affiliated with a national organization?

Yes      No

What are the numbers of staff, volunteers and clients? (Estimate per year)

Total paid staff

Total volunteers

Total people served

Briefly describe the organization’s activities. Please be as detailed as possible in the space provided. If more space is needed, please attach an additional page (please limit any attachment to a maximum of one page typed in 12 font style).

Part 2.
Please provide information on the proposed project.

*Name of Project:

Summarize project in space provided with the allowance of one additional page in 12 font setting.

Length of Project:

Start Date: 

End Date:  

What is the total budget for the project?

(See the Detail Budget request, Part 3, that must be completed in its entirety.)

How much is being requested from the Foundation for the project?

If more funds are needed, how will they be raised?
(Check all that apply)

Business contributions
Youth fund-raising efforts
Agency budget
In-kind contributions
Grants

Will other groups be involved in this project?

Yes        No

If yes, please list:

Where will this activity or project take place?
(Check any that apply)

School
Community
Mall
Sports Event
Festival
Mass Media
Other

What will be the primary measure of the project’s success?

Part 3.
Please fill out the Detail Budget.

Describe how the money will be spent. Be as specific as possible, and
include in-kind or other contributions that will be used. See example below:

Budget Item or Category

Total Amount Needed

Requested from the Foundation

In-kind money

Example: 100 T-shirts for youth participants

100 T-shirts at $6.00 each = $600

$300

$ 300

Salaries:

Employee Benefits:

Travel:

Meals:

Materials:

Consultants:

Applications submitted without a complete budget will not be considered.

     
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