2018 Opportunity Grants

Transcription

1 2018 Opportunity Grants General Grant Information Important: Applicants must enter the specific information for the non-profit when they registered their user name for this Foundant site. If you are applying for a grant for a different non-profit than the one you originally registered, please contact Wyoming Humanities. Applications must be completed by the project/program director under a registered user name through this Foundant site. Applicants are encouraged to download the question list for this application prior to starting by utilizing the provided link on the right hand side. Applications must be submitted through this portal. and mail copies of this application will not be accepted. Project/Program Title* Provide a title that is descriptive of the project. Character Limit: 120 Project/Grant Start Date* Date of First Grant Funded Event or Activity. Character Limit: 10 Project/Grant End Date* Date of Last Grant Funded Event or Activity. Character Limit: 10 Grant Funds Requested* List total amount of WH-provided grant funds requested from budget. Character Limit: 20 Cost Sharing* List the total amount of non-wh funding and in-kind donations for the project from the budget Character Limit: 20 Project Total* List the total costs of the project (should be the sum of the previous 2 amounts) Character Limit: 20 Printed On: 21 March Opportunity Grants 1

2 Fiscal Agent List the fiscal officer s Contact information and role in Organization. The Fiscal agent may be a third party such as an accountant but is usually the fiscal officer of the sponsor organization. A. Name* B. Organization and Role/ Expertise* C. Phone* D. * Sponsoring Agency Only required if the applicant is working through a different organization for non-profit sponsorship. Name of Organization: Primary Contact: Address (for mailing checks): Phone: Organization DUNS: Organization EIN: 0 Project Information Project Scope* Describe the program in terms of humanities content, format, length, and audience participation. Character Limit: 700 Speaker or Discussion Leader's Name* Speaker or Discussion Leader's Qualifications* Describe the speaker's or discussion leader's academic credentials and professional experience. List advanced humanities degrees and specify disciplines. Also list anyone else who will be involved in the public presentation. Printed On: 21 March Opportunity Grants 2

3 Be sure you have a humanities scholar involved in the presentation; ideally your speaker will be the scholar. To qualify as a scholar, s/he must have an advanced degree in a humanities discipline and be currently working in that field. Character Limit: 1200 Narrative Description of Project* Provide an outline of when the major elements or activities of your project will occur, including research, planning meetings, preparation of exhibits and public presentations. 00 Wyoming Counties Your Program Will Impact* Check specific counties in which your program will have a direct impact. Do not select statewide unless your organization or grant has a specific statewide distribution plan. Choices Albany Big Horn Campbell Carbon Converse Crook Fremont Goshen Hot Springs Johnson Laramie Lincoln Natrona Niobrara Park Platte Sheridan Sublette Sweetwater Teton Uinta Washakie Weston Statewide (Typically used for documentaries, web, and digital projects.) A. Title Event 1* B. Location/ Venue* Printed On: 21 March Opportunity Grants 3

4 C. Time/ date* A. Title Event 2 B. Location/ Venue C. Time/ date A. Title Event 3 B. Location/ Venue C. Time/ date A. Title Event 4 B. Location/ Venue C. Time/ date Project Details Use this space to describe any specifics of the project that do not fit in earlier sections. For example, content explanation on specific events or panels. ("Event 1 will look at ") Character Limit: 2400 Printed On: 21 March Opportunity Grants 4

5 Organizations and People Involved Sponsoring Organization and Partnerships List other partnerships or groups that will make this a successful project through outreach or planning/implementation (schools, ad hoc groups, local history groups, Wyoming Public Media, etc ). Character Limit: 1200 Other Key Participants List additional scholars and the other key participants (other than the project director) who are involved in the planning or implementation of this project. Include their roles and any pertinent experience or expertise. Character Limit: 1200 Audience and Impact Estimated attendance* What is the estimated audience attendance (in the case of a media project, how many viewers, listeners, or website visitors are expected once the project is published)? Character Limit: 15 Audience and Publicity* Who is the audience for this program? (Seniors, K-12 students, history buffs?) How will you reach them/advertise to them (e.g., posters, newspaper articles, list-servs, social media)? What kind of outreach capabilities and networks are available to you that you can use to promote the project? Character Limit: 900 Goals and Evaluation* What are the goals and expected outcomes for your project? Please explain how you will evaluate the success of your project. Examples of audience evaluation tools are questionnaires, and surveys. Wyoming Humanities also provides the sponsor organization with a brief audience survey. Character Limit: 900 Cost* Is the event free to attend or will you charge entrance? If so How much? ( Wyoming Humanities funds cannot be used to fund-raise for an organization. All monies raised through ticket sales must go towards the event/project expenses). Character Limit: 600 Printed On: 21 March Opportunity Grants 5

6 Accessibility* Describe how the project and facilities will be accessible to persons with disabilities or special needs. Does the venue meet Americans with Disabilities Act (ADA) Requirements? Character Limit: 600 Funding and Budget Grid WH Grant Fund Usage* WH Opportunity Grant funds may only be spent on speaker/discussion leader honoraria and travel expenses. Note below how much WH grant money you are requesting and state specifically what expenses the funds will cover. (Opportunity Grants provide a maximum of $750 in grant funds.) Character Limit: 600 Other Funding Sources* List any other activities/elements of the project that will be funded by other sources. 0 Other Financial Support List any organizations or individuals who will be asked to contribute money to this project. 0 Attachments Speaker or Discussion Leader Confirmation* Please upload a copy of a letter of intent or contract from your speaker(s) or discussion leader(s) as one file (.pdf or.docx). Character Limit: 25 File Size Limit: 6 MB Signatures AGREEMENT: I agree to use the funds as set forth in this proposal and certify our compliance with the regulations specified below. 1. Certification Regarding the Nondiscrimination Statutes The applicant certifies that it will comply with the following nondiscrimination statues and their implementing regulations: (a)title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d et seq.), which provides that no person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination Printed On: 21 March Opportunity Grants 6

7 under any program or activity for which the applicant received federal financial assistance; (b) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794), which prohibits discrimination on the basis of handicap in programs and activities receiving federal financial assistance; (c) Title IX of the Education Amendments of 1972, as amended (20 U.S.C et seq.), which prohibits discrimination on the basis of sex in education programs and activities receiving federal financial assistance; and (d) the Age Discrimination Act of 1975, as amended (42 U.S.C et seq.), which prohibits discrimination on the basis of age in programs and activities receiving federal financial assistance, except that actions which reasonably take age into account as a factor necessary for the normal operation or achievement of any statutory objective of the project or activity shall not violate this statute. 2. Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion (45 CFR 1169) (a) The applicant certifies, by submission of this proposal, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency. (b) Where the applicant is unable to certify to any of the statements in the certification, such prospective participant shall attach an explanation to this proposal. By typing your name and submitting this application, you agree to the terms and certifications above. Authorized Signature* Application Date* Character Limit: 10 Printed On: 21 March Opportunity Grants 7