Community Foundation for Palm Beach and Martin Counties. 700 South Dixie Highway. Suite 200. West Palm Beach, FL

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1 Community Foundation for Palm Beach and Martin Counties 700 South Dixie Highway Suite 200 West Palm Beach, FL

2 Letter of Inquiry Project Name Test Project for Nonprofit Grant Training Letter of Inquiry 1

3 Summary 1. Please select which focus area you are applying for. Arts and Culture 2. Program Start/End Dates 11/11/11-11/11/12 3. Please provide a 2-3 sentence summary description of your program or initiative. 4. What is the total amount of the proposed budget for this program or initiative? test 5. Does your proposed program or initiative seek to serve South Palm Beach County? (Impact 100 defines South Palm Beach County as Lake Worth Road to the Broward County line Atlantic Ocean to the Everglades. Any funds received from Impact 100 are restricted for use in South Palm Beach County.) Yes 6. Has your organization been a registered tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code for at least three (3) years? Yes 7. Please provide the date of incorporation indicated on your organization's IRS Letter of Determination. 11/11/11 8. Please note that your Letter of Inquiry will become a part of your full grant application if you are invited to submit a full proposal. A copy of your LOI will be ed to you upon submission and will be available through your Organization Profile throughout the application process. Click here to confirm. Summary 2

4 Proposal Narrative 1. What specific need does your program or initiative address? 2. How does your proposed program or initiative address the need (i.e. what does it do?) What specific changes do you expect your project or initiative to generate? 3. Briefly describe the overall structure of your project. 4. Target Population - Describe the need for your project in the Southern Palm Beach County community. Who will be served through your proposed project? Include demographics on populations and geographic area to be served. 5. What is the duration of the project and your timeline for implementation, including the anticipated timeline for spending the grant funds, if awarded? 6. What are the measurable goals this program or initiative hopes to achieve and the high impact it will have? 7. If the total program or initiative budget exceeds the Impact 100 Palm Beach County grant, please describe how additional funding will be secured. Proposal Narrative 3

5 Project Details 1. Has anything changed since you submitted your Letter of Inquiry? If so, please provide detailed information regarding the changes below. 2. Why do you consider this a high impact program or initiative? 3. Include details on the structure of the program and timeline. Please include information on staffing. 4. If your proposal is a collaborative effort, please describe the collaboration and list all partners. 5. Letters of Agreement - Please upload letters of agreement with all stated partners. If applicable, these letters are required. Multiple letters should be scanned, saved and uploaded as one file. Project Details 4

6 Organization Information 1. Describe how your organization is uniquely qualified to undertake this effort. Include details on the staffing for the project and their qualifications for program delivery. 2. Please upload a copy of your current organizational chart. 3. Provide a brief description of your organization's constituency and geographic region. 4. What other organization(s) serving Southern Palm Beach County are similar to the project for which you are proposing this grant? 5. Please provide further detail on your Board of Directors including names, affiliations, level of participation and demographics. Organization Information 5

7 Evaluation 1. Outcomes - Please provide up to five outcomes for the project. Include quantifiable benchmarks and expected completion dates. Outcomes should be specific, measurable, and realistic. 2. How will short-term, intermediate and/or long-term outcomes be defined and measured? 3. How will evaluation be conducted? 4. Will the people served be involved in the program/project evaluation? If yes, how? 5. If this is an existing ongoing program/project, please summarize past quantitative and qualitative outcomes. Evaluation 6

8 Financial Information 1. Project Budget - Please download the Budget sheet. Upload the completed sheet here. Your projected request must equal $100, Project Budget Narrative - Please describe how the funds will be managed and allocated as well as the other sources of support (pending and/or approved). 3. Do you have other funding sources specific to this program? If so, please list them. Include how this grant, if awarded, would allow your organization to leverage other funding sources. 4. What is the sustainability plan for this project/initiative? 5. Please upload your current financial statements. Include your Balance Sheet, Income Statement and Cash Flow Statement. 6. Annual Report - If applicable, please upload your most recent annual report. (We will not accept newsletters, s, letters of recommendation or publicity materials.) 7. Have you checked your Organization Profile in Philanthropy Online to ensure that the information and documentation provided is current? Yes 8. Certification - Are you authorized to submit a proposal on behalf of your organization? Yes Financial Information 7