Fill and Sign the Progress Report Form Raven School

                             2011 Grant Application  Cover Sheet Organization Name: Address: Organization website: Executive Director: Phone: Executive Director Email: Person responsible for grant if different from the above: Name: Title: Email: Phone: Brief description of project for which grant funds would be used (2-3 sentences please): Number of youth served by proposed grant: Total number served by overall project: Approximate ages of youth served by proposed grant: Proposed Project Budget: Org. Budget for current fiscal year: Requested Amount (not to exceed $5,000): How would you classify program grant funds are being requested for: Leadership Education Health (incl. sports) Human Services Arts & Culture In-kind donations accepted by organization: (ie: infant clothing, adult clothing, furniture, house ware) Signature of Applicant Date:                              2011 Grant Application  Progress Report (Required if a grant was received in January, 2011 for the year 2010) Name of Organization: Purpose of Grant: Grant Amount: $ Number of kids served by this grant: Ages of kids served by this grant: Please briefly describe how your children are directly benefitting from this grant and explain how your program is progressing. You may submit one additional page attached if necessary. Signature Title Date                              2011 Grant Application  Grant Application Process Our Mission: We believe that every child deserves the opportunity to have a happy and fulfilling childhood. Marin Charitable provides grants to organizations that offer critical support, education and enrichment for school-aged children in Marin County who have limited opportunities. Marin Charitable currently provides grants of up to but not exceeding $5,000. Marin Charitable provides funds to nonprofit organizations with youth-oriented programs or projects pro-actively addressing the needs of middle and high school aged youth (approx. age 11-18), who have limited opportunities and reside in Marin County. Marin Charitable prefers to fund small-budgeted grassroots programs. Grant applicants will be evaluated based on the following criteria: 1. Relevance of program to Marin Charitable’s mission. 2. Capability of applicant to facilitate program. 3. Direct Impact: ability of applicant to ensure children with limited opportunities are receiving grant funds. Timelines: June 30th (postmarked by) September – November December 15-20th January (early-mid) Grant Application Deadline In person grant applicant interviews conducted Grant decisions announced via mail Grants awarded at Grantee Recognition Event Requirements of grantees upon grant award acceptance: 1. Acknowledge Marin Charitable by name and logo on agency website and in newsletter (if exists). 2. Acknowledge Marin Charitable by name and logo on all marketing and outreach for program for which funds are given. 3. Attendance at grant award ceremony- takes place early-mid January. 4. Spend all funds by December 31st, 2012 or contact Marin Charitable at grants@marincharitable.org to discuss plan for use of funds. 5. Funds are prohibited from being used other than for middle and high school youth (approx. age 1118) who reside in Marin County. 6. Funds cannot be used toward administrative costs, salaries, or consultant fees. Questions can be sent to: grants@marincharitable.org.                              2011 Grant Application  Application Guidelines and Instructions Send complete application packets to: Marin Charitable Grant Committee Chair PO Box 759 Ross, CA 94957 (Electronic submissions not accepted at this time) Questions: grants@marincharitable.org Must include the following and be received complete postmarked no later than June 30th: I. Cover Page II. Progress Report if a grant was received in January, 2011 for the year 2010. III. The following information, listed in numerical order: 1. Name of organization 2. Date of incorporation 3. The organization’s mission statement 4. A brief one-paragraph description of the overall work of your organization. 5. An in-depth description of the specific program to be funded. 6. Statement regarding whether program is new or ongoing, and if so, how long has it been operating. 7. A detailed program budget with breakdown of costs and any other funding and anticipated future funding for this program including fees or revenues from program participants. 8. The name and title of the individual(s) overseeing the project. IV. Required Attachments: 1. Proof of Tax-Exempt Status 501(c)3 letter or explanation of fiscal sponsorship. 2. The most recent organizational budget for this fiscal year. 4. Most recent audited financial statement. Thank you for your interest in Marin Charitable.