Central Montcalm Community Foundation
Grant Application

Type of Grant:
Community
Education
Tobacco (healthy youth and seniors)
Grant Deadlines:
August 31
October 1
August 31
Please select the grant type above
Grant Applicant :
Title of Project:
Email Address:
Phone Number:
- -
Name(s) of Educators/Representatives Who Are Requesting the Grant:
Amount Requested for Projects/Materials (itemize where appropriate):
Date the Funds are Needed (mm/dd/yy):
Please describe the purpose and goals of the project/materials, including the direct benefit to the students community (please be specific):
What is the plan for evaluating the actual use of the materials or implementation of the project, to see the actual effects (please describe in detail)?
If this project is ongoing, how will it be funded in the future?
Are other sources of money necessary for the purchase of these materials or for the implementation of the project?
Yes No
If "Yes", what other sources will be used?
Please add any other information that you feel would help the Board of Directors in considering your grant request:
Would you be willing to accept a partial grant, or would you need full grant funding for this project?
Yes No
If "No", please state your reason:
PLEASE NOTE: A FINAL REPORT IS REQUIRED AT THE COMPLETION OF THE PROJECT, OR AT THE END OF THE CALENDAR YEAR IN WHICH THE GRANT IS APPROVED. SECONDLY, A SIGNATURE BY THE GRANT APPLICANT, PROJECT SUPERVISOR, AND BUILDING ADMINISTRATOR SHOULD BE AVAILABLE BY FAX UPON REQUEST.