A gift to your community ... is a gift to yourself.

Grant Request Form

 

Guidelines

The Blair Area Community Foundation has established the following grant guidelines.

1.    Applications will only be accepted from organizations that either have an official 501(c)(3) designation,
       are entities of government requesting funds for public purposes, or are churches/synagogues 
       providing social services to the community.

2.    The Foundation does not finance annual appeals or payment of regular, ongoing operational 
       expenses for applicant organizations.

3.    The Foundation will not purchase supplies or provide funding for annually recurring events or 
        programs.  However, the BACF will consider assisting in the first year start-up costs of new programs 
        that will benefit the community in new ways, serving needs not currently being met. 

4.    The Foundation does not fund scholarships through this program. 

5.    The Foundation does not make contributions that attempt to influence legislation nor does it 
       intervene in any way in political campaigns.

6.    The Foundation prefers to fund requests that provide ongoing benefit to the community.

7.    The Foundation looks favorably on grant requests where a portion of the funds needed for a project 
       have already been raised.  

8.    Requests for funding for large projects need to show existing financial support from the community.  
       The BACF grant program can help fund the final needs of a large fundraising campaign, but will not 
       fund the initial needs without significant evidence of other sources of income committed to the project. 

9.    Funds may not be diverted from their original purpose by the recipient.  If, after receipt of a grant from 
       the BACF, the non-profit organization feels there is a need to modify or change the usage of the funds, 
       that change request must be submitted to the BACF in writing, and approved in advance of 
       implementation of the project by the Blair Area Community Foundation, or the funds must be returned.

10.  The Foundation reserves the right to request a return of grant monies not expended within one year 
       of the grant allocation, unless otherwise specified at the time of grant allocation.

Mission

The Blair Area Community Foundation's mission is to support activities that enrich the community and 
support the values of the families that live in Washington County, Nebraska.  Areas of support include 
education, fine arts, community betterment, parks and recreation, public facility development and 
improvements, health and welfare, and other charitable purposes.    

proceed to the Application section Below if your organization, and specific 
funding request, complies with the guidelines and mission statement above.

Grant Application

The following organization requests a grant from the Blair Area Community Foundation:

Name of Organization:

Mailing Address:

Contact Person:

Telephone:

E-mail address:

  _______ 501(c)(3) Org.          _______ Government          _______Church or Synagogue

 If a 501(c)(3) organization, include a copy of your IRS letter of determination.

Amount of Grant Request:  $ ______________

Grant Proposal

In evaluating the merits of an application the following criteria are considered.  Please respond to each 
item.  Responses should be type written on a separate piece of paper with the question, followed by your 
response.  Please limit your grant proposal to a maximum of four  pages in length, plus any applicable 
attachments.

1.    Describe what the grant will be used for.  Please be specific (i.e. what items will be purchased and 
       their cost, what construction or repairs will be done, what program will be implemented, etc.)  It is 
       critical that you provide enough information to enable the Foundation to give your request full 
       consideration.

2.    Describe how the proposed activity fits the Foundation's mission?  (See "Mission" section)

3.    Describe how the  proposed activity benefits the Foundation's service area of Washington County, 
       Nebraska.  Please be specific.

4.    How much of the community will the activity benefit?

5.    What personnel, resources, and experience does your organization have available to ensure that the 
        project will be carried out according to plan?  In addition, tell how many years your organization has 
        been active in Washington County ; give the names, titles, and phone numbers of the officers of your 
        organization; and list recent projects your organization has completed in Washington County with a 
        brief description and pertinent dates.

6.    Please complete the chart below:

      A.  Total Project Cost                                                                                         _______
      B.  Funds Available 
            (cash/pledges raised for the project/program to date)                              _______
      C.  Balance Needed (The amount needed to be raised before 
            receipt of a grant from the BACF.  Subtract line B from line A.)          _______

7.    Historically, grants given through the BACF grant program have ranged from $400 to $3,500.  
        
If the grant allocation given by the BACF were to be less than the amount requested would the 
       project be able to proceed?        _______ Yes        _______ No

       If "yes," describe how the balance would be raised?  

8.    What is the time period of the project and when will the grant funds be spent?

9.    If your proposal is for the benefit of another organization (i.e.: a parents' organization making a 
       purchase for the school system) please document their agreement that there is a need and that they 
       are in support of your efforts by including a letter from that organization.  For public property projects 
       (community buildings, public parks, etc.) provide a letter of support from the appropriate governmental 
       body (i.e.: city administrator or city council, school administrator or school board, etc.)

10.  If the project will continue after the initial grant period, describe the plan to continue funding and/or 
       maintenance in future years.

Acknowledgement Agreement

The recipient agrees to indicate the assistance of the Blair Area Community Foundation in press releases, 
publications, and other public activities associated with the project.

______________________________________________________________________________
Applicant's Signature                                                                                                       Date

All applications received by the deadline of October 1 will be reviewed and final notification will be given to 
applicants by December 1.

Mailing Information

Applications should be sent to:
Blair Area Community Foundation
c/o Mary Jean Rahlfs
P.O. Box 390
Blair, NE 68008
or delivered to the Blair Area Chamber of Commerce, 1526 Washington St., Blair, NE 68008

If you have questions please contact Mary Jean Rahlfs at (402)426-4144 or mjrahlfs@rvrco.net.

 

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Blair Area Community Foundation
1646 Washington Street
Blair, NE 68008
(402) 426-2810