APPLICATION FOR TAKENA KIWANIS GRANT

For Fiscal Year 2009-2010 (begins October 1, 2009)

All Requests Due by September 15, 2009*

(* during 2009-2010 only we are accepting requests from previous grantees after September 15, 2009,

please mark your calendar for future year requests)

 

                                               Amount Organization is requesting: ___________________

                                                            (if a lesser amount is acceptable please note)

 

Organization Name

 

Address

 

Contact person(s) and title(s)

 

Telephone

 

Fax

E-mail

Federal Tax Identification Number (if applicable)

 

 

 

  1. Description and purpose of organization.
  2. Describe the program(s) or work proposed for funding.  Be specific.
  3. Who and how many persons will benefit from Takena Kiwanis funding of this proposal/program? Include demographic information and numbers proposed to receive benefits.  (NOTE: Takena Kiwanis focus is on children of the Albany Community)

 

 

 

 

  1. How does this proposal address the Takena Kiwanis’ established goals and service priorities?
  2. Please describe how the Takena Kiwanis’ money will be spent.  How many children will benefit from this grant/donation. Be specific.

6.         Are there other facts or considerations that the Takena Kiwnis should use to evaluate your proposal/project?

7.         Will there be any opportunity to advertise the Takena Kiwanis if this grant/donation is approved?

Audit Authorization

 

The organization applying for this grant hereby agrees to provide the Takena Kiwanis, its agents, officers, and auditors, access to all organization documents and records for five (5) years following the grant of any Takena Kiwanis funds to organization.  The organization further agrees that if funds are granted, Takena Kiwanis, its agents, officers, and auditors, will, upon 24 hours’ notice, be entitled to have access to and inspect any organization offices, locations, or facilities.

 

Should suitor action be instituted to enforce any term of this agreement, the prevailing party shall be entitled to an award of its reasonable attorney fees, including those incurred upon appeal.

 

 

______________________________________________________________________________

Name

 

______________________________________________________________________________

Title

 

______________________________________________________________________________

Date