Organization Executive ________________________Contact Person ____________________________
Purpose and brief summary of the Program for which you are requesting a grant ____________________ ___________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Total Cost of Program __________________Amount of Request _______________________________
Please list other private or public funding sources for this project.What monies have been (R) requested or (CR) committed/ received?
_____________________________________________________________ ____________________________________________________________________________________
Who will benefit? (include age groups, racial or ethnic groups) __________________________________
How many people will benefit? ____________________________________________________________
What % of low-to-mid income people will be served?___________________________________________
How many Cambridge residents will benefit? _________________________________________________
Where and when will this program happen? _________________________ ________________________________________________________________________________________________________________________________________________________________________Why is this program needed? __________________________________________________________________________________
Have we funded this or any program sponsored by your organization before?If yes, when?How was the money used?__________________________________________________________________________
Dear Potential Applicant,
Thank you for your interest in the Cambridge Action Fund application process. Enclosed please find the application summary sheet.
Application deadline is Nov. 26 for consideration.
Please be ready to present your program to our symposium on the first week of December.
Please email your application to doaneperry@yahoo.com and submit one copy of the proposal to be considered for funding.
Each copy of the proposal must include the following:
An Application Summary sheet (see attached) as the first page of the proposal. PLEASE NOTE A TOTAL OF four COPIES OF THE APPLICATION SUMMARY AND APPLICATION MUST BE SUBMITTED Y ALL GRANT APPLICANTS.
A statement of agency and project goals. (Please limit to one page.)
A description of the specific project and budget for which funds are being requested.
An agency budget for the same year.
A list of the organization’s current Board of Directors.
A list of other prospective funding sources.
In addition, Cambridge Action Fund must receive one copy of the following:
A determination letter from the IRS confirming tax-exempt status. This can be for paper copy submission only.
The organization’s most recent annual audit report.
Applicants are encouraged to call if you have any questions about the application process or the appropriateness of your proposal. To the forum, please bring material to explain your program: a poster board and a three ring binder so that you can use these same materials to explain your program to others. We design our application to be similar to Cambridge Community Foundation’s to make it easier for you.
Cambridge Action Fund, Inc.
1657 Cambridge St. #3, Cambridge MA 02138-4316, Tel:617-868-7082or 617-547-1413. Fax:617-876-8991. www.cambridgeactionfund.org Form revised December, 2010
