Apply for a Grant

The mission of the Three Lakes Community Foundation is to strengthen and support opportunities that make Three Lakes THE place to live, work and play. If you are interested in applying for a grant, please follow the steps below.

Carefully read through the Grant Application Guidelines
Fill out either the Short Form (request for under $1000) or long form (request for over $1000) application below and submit it.

Short Form Grant Application (under $1000)

Short Form Grant Application

Application/organization *

Contact person *

Email *

Phone *

Is the organization 501(c)3 exempt? *

Yes

Total amount required for project/event *

Dollar amount requested *

By when? *

If amounts differ explain how other funds will be raised

How will the money be used? *

Why is this important to the Three Lakes community? *

Is your project in collaboration with others? Explain *

Explain any other factors *

Explain any other factors that you believe would support your request, or be helpful to the Board to understand your request

Authorization & Acknowledgment *

I confirm that the information provided in this application is true and complete to the best of my knowledge. I understand that providing false or misleading information may result in disqualification from the grant process. I agree to abide by the guidelines set forth by the Three Lakes Community Foundation and acknowledge that submission does not guarantee funding.

NOTE: More information may be requested by the Foundation.

If you are human, leave this field blank.

Long Form Grant Application (over $1000)

Long Form Grant Application

Application Information

Applicant Name *

Federal Employer ID Number (EIN) *

Contact Person *

Address *

Address

City

State/Province

Zip/Postal

Phone Number *

Email Address *

Applicant Organization Information

The organization is *

A Nonprofit- Do you qualify for tax exemption under IRS 501(c) (3), Internal Revenue Code

Year of Incorporation *

Organizational Fiscal Year *

Number of Members if Applicable

Project Information

Project Name / Purpose *

Total Project Cost *

Grant Amount Requested *

Date Funding Needed By *

Project Start Date *

Project End Date *

Is this a new or ongoing project? *

New

Ongoing

Both

Area of Community Impact: *

Human Services

Health & Recreation

Education

Arts & Culture

Environment

Community Development

OtherOther

Has the Applicant Organization applied for or received a grant from this foundation in the past? If so please provide:

When

Project Name

Amount of Funding

Application Organization's Supportive Information and Documentation

Briefly describe the Applicant Organization's mission. *

Briefly describe your organization's structure and qualifications of board, staff, and volunteers involved in the project. Include a list of your current board of directors *

Describe the project for which you are seeking funds (including project goals and objectives). *

Explain why this project needed (including who it will impact and how it will help the community). *

Is this project based on research that you can provide? *

Are there any similar projects currently operating in the community? If so, how is your project different? *

Are you collaborating with other organizations to meet this need? If so, list the other organizations participating in the project and describe their roles. *

If the project is a phase or component of a larger project, describe how the component will be usable or functional in and of itself. *

What are the long term strategies for continuation (or maintenance) and funding of this project at the end of its competition? Are there issues of sustainability? *

Explain how you will evaluate and measure the effectiveness of your activities. *

Who will this program serve and how many will it affect directly and indirectly? *

File Upload

Maximum file size: 268.44MB

Attach a copy of current IRS determination letter indicating 501 (c) (3), or 509(a) tax exempt status, or evidence that the organization is not a private foundation as defined in Section 509(a). If not available, explain application status. If you are being sponsored by another agency, submit their tax-exempt letter and a signed letter from them indicating their sponsorship.

File Upload

Maximum file size: 268.44MB

Attach a copy of your most recent annual financial statements, and IRS Form 990.

File Upload

Maximum file size: 268.44MB

Attach documentation that this project was authorized by Applicant Organization's governing board (i.e., copy of board meeting minutes authorizing project or authorizing resolution.)

Project Budget:

File Upload

Maximum file size: 268.44MB

Project Cost Estimate: Attach a Project Cost Estimate with explanation. Describe any non-cash donations.

Total Project Cost $ *

Cash $ *

Non-cash Donations $ *

Work to be performed by: *

Private Company Contract(s)

Volunteers

Staff

OtherOther

(Check all that apply.)

Project Funding Sources *

Describe the other sources of funding for the project- including funding obtained to date, other sources that have been approached for funding and the strategy for obtaining the remaining funds.

Terms and Conditions *

By initialing this box, the individual(s) whose name(s) appear on this application, including the Chief Officer, confirm they are authorized to act on behalf of the Applicant Organization and in the event of funding will commit the Applicant Organization to abide by the following grant terms and conditions:

Granted funds will be used only for the purpose(s) set forth in this application.
Funding provided by the Three Lakes Community Foundation may not be used to participate or intervene in political campaigns or to support an attempt to influence legislation except to the extent that such activities are permissible under IRS rules for 501(c) (3) charitable organizations.
The Applicant Organization may not, prior to receiving the funds, designate funds yet to be received for the project. The Applicant Organization is to use the funds within the designated project period as referenced in this application. However, exceptions may be allowed based on circumstances. Any requested exception must be submitted in writing and is subject to approval by the Three Lakes Community Foundation. At the completion of the project, the Applicant Organization must submit in writing verification of the use of the funds for the designated Project.
The Three Lakes Community Foundation may request additional terms, conditions or contingencies in a signed agreement before releasing grant funds.
Once the Applicant Organization receives funds from the Three lakes Community Foundation, the project named and described in this Application and the terms and conditions of this agreement are subject to modification only with the Three Lakes Community Foundation's prior written approval.
The Applicant Organization can request a list of the names and emails of those who donated/ contributed funds received as a result of this application.
The Three Lakes Community Foundation will send a thank you note to donor within 30 days of receipt of donation. This note will include Applicant Organization, campaign information and the required IRS advisement for legal purposes.
The Three Lakes Community Foundation will fulfill the reporting obligations to the IRS regarding the funds provided to the Applicant Organization from The Three Lakes Community Foundation's campaign.
The Three Lakes Community Foundation will report money raised as donor-designated funds for legal reporting purposes.

Policy *

By initialing this box the Applicant Organization confirms it is in compliance with the Three Lakes Community Foundation Non-discrimination Policy which is set forth below:

The Three Lakes Community Foundation seeks to promote respect for all people. In our grant programs, the Three Lakes Community Foundation will not knowingly support organizations whose programs or services are not open to all without discrimination on the basis of race, color, religion, gender, national origin, ancestry, age, medical condition, disability, veteran status, marital status, sexual orientation or any other characteristic protected by law. We recognize that Applicant Organizations may identify special needs in the community and target programs or services to a specific population based on those needs. These programs must be open to all people in those targeted programs and specific populations to be eligible for grant consideration.

We certify that the information provided in this application is correct to the best of our knowledge. We understand that additional information may be required to aid the Three Lakes Community Foundation in its review of this request and is available to answer your questions.

Applicant Organization Name *

Date *

If you are human, leave this field blank.

Feel free to contact us with any questions you may have.

Short Form Grant Application (under $1000)

Long Form Grant Application (over $1000)

Application Information

Applicant Organization Information

Project Information

Application Organization's Supportive Information and Documentation

Project Budget: