Georgia District Kiwanis Foundation, Inc.

Grant Request

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Every Kiwanian in the Georgia District is a member of the Georgia District  Kiwanis Foundation, Inc.. The Foundation exists to provide financial assistance to service programs/projects that agree with and support the six (6) objects of Kiwanis International (KI). The Foundation’s purpose is achieved through providing grant funds to Kiwanis International, Kiwanis-­‐family sponsored programs, and to Kiwanis service programs/projects whose scope is beyond the means of individual Kiwanians, Kiwanis clubs, and local Kiwanis club foundations. Members of the Foundation’s Board of Trustees are elected by the Foundation’s members attending the Georgia District Convention.

Grant requests are expected to further the goals and ideals of Kiwanis and promote the growth and development of Kiwanis within the Georgia District. Priority in considering and awarding grants is given to requests that involve Service Leadership Programs (SLPs), Key Leader, and projects involving young children.

I.	Procedures for submitting a grant request application

A grant application must be approved by the Foundation President for distribution no later than 30 days prior to one of the following Foundation meetings:

•	Fall Training Conference (traditionally held in late October)
•	Mid-­‐Winter Training Conference (traditionally held in late February or early March)
•	District Convention (traditionally held in mid-­‐August)

Grant applications must be submitted by the relevant deadline to the:

Georgia District Kiwanis Foundation, Inc. 
Attention: Alexia Lieber, Executive Director
P.O. Box 6618
Macon, GA 31208
FAX:  478-­‐474-­‐3647	PH:  478-­‐474-­‐6169	EMAIL:     alexia@kiwanis.mgacoxmail.com

Grant Selection Criteria

1.	Upon completion of the Georgia District Kiwanis Foundation’s grant request application, the Foundation reviews applications and awards grants to Kiwanis Clubs (in good standing) for up to $5000 and requires an equal match by the Club.
2.	Grant requests from Kiwanis-­‐family clubs can be used for non-­‐Kiwanis organizations, if said non-­‐Kiwanis organization  is
a.	located in the United States,
b.	qualified by the Internal Revenue Service for tax exemption as a 501 © (3) organization, and
c.	holds proper liability insurances to indemnify the Foundation.
3.	Grant funding commitments are made by the Foundation for twelve (12) consecutive months only. The Foundation will not fund a grant to the same program/project for more than two consecutive years.
4.	Grants will be for programs/projects located within the boundaries of the Georgia District of Kiwanis, unless
approved by the Foundation Board.

II.	Approval Timeline of Foundation Grant Awards
The Foundation Board approves grant funding applications at one of the three Foundation meetings noted above. The Kiwanis Club submitting the application will be notified of the Foundation Board’s decision no later than 30 days
following the Board’s meeting. The Board’s decision is final.

 Georgia District Kiwanis Foundation, Inc.

Grant Request

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III.	Application

Kiwanis Club		

Division  	

Address:	 	

Name of Club President (print)  	

President Signature	 	

Name of Club representative submitting application   	

Day Phone	Email address  	

Amount of Funds Requested $		Amount of Club Matching Funds $ 	

Anticipated Dates of Program/Project Operation:  Beginning (Month/Year)	_ Ending (Month/Year)  	

Identify which of the following this application relates:

□	Service Leadership Programs (SLPs)—specify which SLP  	

□	Key Leader	□ Young children

□The Six (6) Objects of KI-­‐-­‐-­‐specify which  	
			
 Georgia District Kiwanis Foundation, Inc.

Grant Request

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Attach a one-­‐ two page statement about the proposed program/project that includes responses to the following.

1.	Program/Project   Description
a.	What problem/issue will this program/project address?
b.	How will receiving the requested funding enhance the program/project or help resolve the problem/issue?
c.	Who and how many will benefit from participating in the program/project?
2.	Program/Project  Goals
a.	What are 3-­‐5 specific goals and/or objectives of the program/project?
b.	Specifically/spell out how will the funds requested be used in the program/project?
3.	Impact
a.	What specific performance metrics/measures will the program/project use to evaluate its success?
Please provide these measures in the Club’s follow up/implementation report on the program/project. (See page 3 Assurances)
b.	When would these measures take place?
c.	How will the goals of your Club and GA Kiwanis benefit from receipt of these funds?
4.	Local Contribution
a.	Have local funds been sought to help with this program/project? If YES, from which organizations and how much? If NO, why not?
b.	Have partnerships with local organizations been sought to leverage resources and broaden the impact of this program/project? If YES, from which organizations and how much? If NO, why not?
c.	Attach if relevant up to five (5) items highlighting the program/project and Kiwanis’ involvement, if already in operation. These may include news articles, photos and brochures.
5.	Budget
Expenses
a.	Provide a budget with an explanation of each line item, including how the cost was determined.
Applications with missing or incorrect budgetary information will not be considered for funding. The following guidelines will help categorize program expenses:
i.	Salaries and fees: Include staff salaries that are allocated to the project. Identify each position,
salary and percentage of time to be devoted to the project.
ii.	Fringe benefits: Include related benefits and taxes allocable to the salaries listed. Identify fringe benefits as a percentage of salaries.
iii.	Consultants: Include fees, honoraria and expenses paid for consulting and professional services  of individuals or organizations that are not paid staff of the organization. In the budget narrative, identify consultants and anticipated costs individually.
iv.	Printing/publications: Include expenses for production of all printed materials. Identify specific publications, number of copies planned and anticipated size of each publication.
v.	Media costs: Include expenses for radio, television, newspapers, billboards, newsletters, etc.
vi.	Telephone: Include all telecommunication expenses. Identify how anticipated usage is determined. Supplies: Include office supplies, subscriptions, books and other material.
vii.	Postage: Include expenses not incorporated above. Identify how the estimates are calculated.
i.	

 Georgia District Kiwanis Foundation, Inc.

Grant Request

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Revenue
a.
b.	Kiwanis Children’s Fund  grant request Income contributed by your Club/District	$ 	
$ 		
c.	Public Agencies	$ 		
d.	Corporations	$ 		
e.	Individuals	$ 		
f.	In-­‐Kind Contributions	$ 		

Note:	Up to $5,000 for District Club or Division

IV.	Assurances

The	Kiwanis Club has requested a grant from the Georgia District  Kiwanis Foundation, Inc. in the amount of $		. If the Club is awarded this grant it assures to complete the following:

1.	To spend up to and including the specified amount for the sole purpose of the program/project for which the amount was approved.
2.	To submit copies of paid invoices for items purchased or services rendered, in conjunction with said
program/project, to the Treasurer of the Georgia District  Kiwanis Foundation upon project completion
3.	To submit a report on the implementation of the program/project at twelve (12) months.
4.	NOTE—If quality photographs of the program/project’s operation are available, please submit them too.
5.	To credit or name the Georgia District Kiwanis Foundation, Inc. for funding the grant in all publicity.
6.	If this project is awarded a grant, please indicate the name and address to whom the check should be sent.

Name:	 	

Address:	 	

Phone:			Email:     	

Club President Signature:	 	

Date: