Grant Request Form
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Organization Name
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Street Address
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City
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State
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Zip Code
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Phone
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Email
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Website
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Executive Director
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Contact person (if other than Executive Director)
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Briefly describe your Organization:
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Project Overview
:: The purpose of this grant proposal is to:
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Objectives
:: The grant funds will be utilized to achieve the following objectives:
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Budget
:: The grant amount we are seeking is:
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Budget
:: The budget breakdown is as follows:
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Evaluation Plan
:: We recognize the importance of evaluating the impact of the grant-funded activities. To achieve this, we plan to:
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Period of Grant
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Jefferson Community Foundation (JCF) is the nonprofit, community foundation for Jefferson Parish dedicated to improving the quality of life for residents, visitors, and businesses in Jefferson Parish by focusing on the needs of the community and the power of philanthropy. JCF has six (6) pillars of support. Please check all applicable boxes that apply to this funding request:
(Required.)
Education
Health and wellness
Neighborhood support and revitalization
Race equity reconciliation
Senior initiatives
Transit
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Donor Recognition Plan ::
Please select the methods by which you plan to recognize JCF's support of your project. (You may select multiple options)
(Required.)
Put JCF's logo on website
Press release highlighting JCF's support
Publicize JCF's support on Facebook
Publicize JCF's support on Instagram
Publicize JCF's support on LinkedIn
Highlight JCF's support on TV
Highlight JCF's support on radio
Highlight JCF's support in organization newsletter
Highlight JCF's support in organization annual report
Other (please specify)
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The leadership of our organization is aware we are applying for this grant. If awarded this grant, they will accept the funding. Acceptance of funding is for the intent and purpose outlined in this request only.
(Required.)
Yes
No
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Applicant Name
(Required.)
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Title
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Date
MM/DD/YYYY format
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