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Non-Profit Grant Request
This form has been modified since it was saved. Please review all fields before submitting.
Organization Name and Address
Dollar Amount Request from the Town of Davidson
How many Davidson residents does your organization serve annually? How many total people does your organization serve annually? How is this data collected?
List other Town of Davidson support received (i.e. town staff time, building subsidies, etc.).
How will your organization use community and/or participant input in planning the program design and/or activities?
Please relate how the organization will used any received funds to fulfill the Town of Davidson’s mission, goals and core values.
Who is the project/program designed to benefit? Describe the project/program’s target population, citing (if relevant) specific age, gender, income, community location or other characteristic of the population this project/program intends to serve.
How will you reach the targeted population?
If the service is not new, will the existing public service activity level be substantially increased or improved? Provide details of how it will be improved. For increase in service provide data on the past three years illustrating service level and provides estimate for increase in service.
Provide an explanation of how the most recent Town of Davidson contribution to your organization was utilized. Be as specific as possible. If your organization has not previously received funding from the Town of Davidson, please indicate the impact of your organization not receiving the requested funding (i.e. revenue higher from other donors, new program not initiated, etc.).
Provide the amount requested to be contributed by the Town of Davidson. What percentage of your total proposed FY2016-2017 budget would the requested funds from the Town of Davidson represent?
If you do not receive the requested funds or only receive a portion of what you requested, how will that impact the project/program?
Has this organization previously received grant from the Town of Davidson?
Does the organization have an annual audit?
Does the organization have an annual audited budget?
Please provide the organization’s annual budget.
Upload the budget above
Does the organization have articles of incorporation non-profit status
Is the organization certified under 26 US Code 501(c)(3)
Does the organization have approved bi-laws?
Is the organization located in the corporate limits of Davidson?
Does the organization have an agency statement of non-discrimination?
Please upload the organization's board roster
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