Grant Application

Answer all questions briefly. Limit attachments to one page.

Date Application Submitted: ____________________________

Name and telephone number of person/department requesting funds and contact person.

__________________________________________________________________________

Total amount of funds requested from the Foundation. ______________________________

Describe the project, program or equipment for which funds are being sought, the need that will be addressed, how that need was determined. (attach one page if more room is needed)

__________________________________________________________________________________

What is the total cost of the project for which your grant request is sought? What other sources of funding, if any, will be utilized?

___________________________________________________________________________

When will your project be completed or implemented?

__________________________________________________________________________________

We may request a copy of your 501(c)3 and a list of your Board of Directors.

The board of directors meets the 3rd Wednesday of every month.

Grant applications will be considered quarterly at the February, May, August and November meetings. Applications are due in our P.O. Box 734 or the office at 2427 Fairlawn Drive, Carthage, MO 64836 on the following schedule:

Due January 31 to be considered at the February meeting

Due April 30 to be considered at the May meeting

Due July 31 to be considered at the August Meeting

Due October 31 to be considered at the November meeting