[City of Takoma Park] FY19 Community Grants Program

FY19 COMMUNITY GRANTS PROGRAM

PRELIMINARY APPLICATION

The City of Takoma Park's Grants Review Committee is accepting Preliminary Applications from organizations seeking funding through the City’s FY19 Community Grants Program. Funding is available for STEM-, Arts-, or STEAM-oriented projects, programs or events that will occur between July 1, 2018 and June 30, 2019.

A Preliminary Application is required of all applicants. If selected for further consideration, you will be contacted by the Grants Review Committee and invited to submit a full application for funding.

To be considered for funding, your Preliminary Application must be submitted electronically via the following form (on the Seamless Documents platform) on or before 4:30 pm on Monday, February 26, 2018. Please note that the entire form must be completed in one sitting; you may not save your work and return to it at a later time. To assist in your planning, a Word version of the preliminary application is available on the City's website at the following URL: https://takomaparkmd.gov/government/housing-and-community-development/grant-programs/community-grants/

For more information, please contact the City of Takoma Park’s Housing and Community Development Department at 301.891.7119 or grants@takomaparkmd.gov.

Applicant Information

Applicant Name

Title

Phone Number

Website (if any)

Applicant Organization's Mission Statement (limited to 500 characters)

Number of Years in Operation

Type of Organization

Fiscal Sponsor's Name (if applicable)

Fiscal Sponsor's Phone Number

Fiscal Sponsor's Email

Fiscal Sponsor's Website (if any)

Proposed Project, Program or Event Information

Name of Proposed Project, Program or Event

Summary of Proposed Project, Program or Event (1000 character limit)

Describe your plan for successfully recruiting participants who meet income and residency requirements of the Community Grants Program. (1000 character limit)

How will your Proposed Project, Program or Event impact Takoma Park residents? How will you measure this impact and related outcomes? (1000 character limit)

Proposed Budget Information

A. Amount of Grant Request (Equal to or Less than 50% of Total Project Budget)

B. Value of Match (Equal to or More than 50% of Total Project Budget)

C. Total Project Budget (A. + B.)

Anticipated Source(s) of Required Match. For sources of Match that are cash receipts, please describe your historical funding relationship with each respective source. (1000 character limit)

Upload Organization's Budget-to-Actual for Current Fiscal Year (250MB limit)

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General Terms and Conditions

Living Wage Requirements

All business associations and nonprofit grant recipients, regardless of the amount of the grant award or their individual exemption status, are required to pay each employee assigned to the approved project or program a living wage as determined by City Code, Chapter 7.08 Article 5 Living Wage Requirement.

Reporting Requirements

Both grantees and partners will be required to provide quarterly accounting of all grant activity. A final narrative, due upon completion of approved project or programming, is required.

Disbursement of Grant Funds

The disbursement of grant funds will be negotiated on a case by case basis and may include reimbursement of expenditures by grantee, direct payment to vendors, or quarterly disbursement of grant funds following submission of required reports.

Funds are available on a reimbursement basis only. Grant recipients will be required to submit original documentation of all grant expenditures, including administrative and overhead expenses, and required match contributions.

Applicant Organization has reviewed, understands, and will adhere to the General Terms and Conditions, if awarded a grant

Yes

Review Criteria (click button for "yes" answer; leave blank for "no" answer)

Review Criteria (click button for "yes" answer; leave blank for "no" answer)
	Applicant	Reviewer
Preliminary application proposes a SPECIFIC project, program or event	Preliminary application proposes a SPECIFIC project, program or event/Applicant	Preliminary application proposes a SPECIFIC project, program or event/Reviewer
Project, program or event is STEM, Arts, or STEAM	Project, program or event is STEM, Arts, or STEAM/Applicant	Project, program or event is STEM, Arts, or STEAM/Reviewer
Targeted beneficiaries are low- and/or moderate-income	Targeted beneficiaries are low- and/or moderate-income/Applicant	Targeted beneficiaries are low- and/or moderate-income/Reviewer
At LEAST 51% of proposed beneficiaries meet income requirements	At LEAST 51% of proposed beneficiaries meet income requirements/Applicant	At LEAST 51% of proposed beneficiaries meet income requirements/Reviewer
At LEAST 75% proposed beneficiaries are residents of Takoma Park	At LEAST 75% proposed beneficiaries are residents of Takoma Park/Applicant	At LEAST 75% proposed beneficiaries are residents of Takoma Park/Reviewer
Applicant has articulated a clear plan for reaching income- and resident-eligible beneficiaries	Applicant has articulated a clear plan for reaching income- and resident-eligible beneficiaries/Applicant	Applicant has articulated a clear plan for reaching income- and resident-eligible beneficiaries/Reviewer
Applicant is a non-profit or business association, or is a nonprofit organization in formation that is using a certified nonprofit organization as its fiscal sponsor	Applicant is a non-profit or business association, or is a nonprofit organization in formation that is using a certified nonprofit organization as its fiscal sponsor/Applicant	Applicant is a non-profit or business association, or is a nonprofit organization in formation that is using a certified nonprofit organization as its fiscal sponsor/Reviewer
Grant Request is in the range of $5,000 to $10,000	Grant Request is in the range of $5,000 to $10,000/Applicant	Grant Request is in the range of $5,000 to $10,000/Reviewer
Applicant has secured or has a plan to secure $1:$1 match requirement	Applicant has secured or has a plan to secure $1:$1 match requirement/Applicant	Applicant has secured or has a plan to secure $1:$1 match requirement/Reviewer
If grant is awarded, applicant will adhere to General Terms and Conditions, including Living Wage, Reporting, and Disbursement requirements	If grant is awarded, applicant will adhere to General Terms and Conditions, including Living Wage, Reporting, and Disbursement requirements/Applicant	If grant is awarded, applicant will adhere to General Terms and Conditions, including Living Wage, Reporting, and Disbursement requirements/Reviewer

CERTIFICATION

As the authorized representative of the Applicant, I have completed or directed the completion of this Preliminary Application for consideration for funding by the City of Takoma Park Community Grants Program and confirm that the information contained herein is true and correct to the best of my knowledge, information and belief.

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