Virginia Club of New York Grant Application

CONTACT INFORMATION

The Virginia Club of New York Grants Application is now closed.

No applications are accepted at this time.

Organization Name:*

Primary Contact at the Organization*

First Last

Primary Contact Address Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Primary Contact Email:*

Primary Contact Phone Number:*

ORGANIZATION INFORMATION

Tax ID:*

Year Founded*

What is your mission?*

Website:*

Number of Board Members

Please enter a number greater than or equal to 0.

Number of Employees:*

Has the organization been convicted or plead guilty to any legal actions in the past 5 years?*

Yes
No

If yes, please explain:

Have you received prior funding from the UVA Club of NY?*

Yes
No

If yes, how much total funding have you received?

How did you learn about this grant?*

Describe How You Are Impacting the Communities We Serve

Number of Annual Beneficiaries*

Describe the Population You Serve (i.e. demographic makeup)*

Geography Served:*

New York
Charlottesville
Other

If other, please explain:

In What Year Do You Expect Funds Will Be Used?*

What UVA Club Mission Area Will Your Project Target?*

Scholarship
Education
Poverty Alleviation
Food & Shelter
Other

If other, please explain:

FINANCIAL INFORMATION

Prior Year Budget:*

Current Year Budget:*

Amount Requested from the UVA Club of NY:*

Total Project Budget:*

What other funds have been raised for this project?

List your top 5 funders (including amount) in the past year.*

NARRATIVE

How will UVA Club of NY funds support your organization?*

Why should the UVA Club of NY fund your organization?*

How will you determine that the project is successful?*

ATTACHMENTS

Detailed Project Budget

Max. file size: 1 MB.

IRS Determination Letter

Max. file size: 1 MB.

Most Recent Audited Financials

Max. file size: 1 MB.

List of Board Members (please note any UVA alumni)

Max. file size: 1 MB.

List of Key Executives (please note any UVA alumni)

Max. file size: 1 MB.

Leave a Reply