Year-Round Grant Application Year-Round Grant Application Which grant are you applying for?Please select which grant you are applying for. Grants are awarded to qualifying organizations including non-profits that are tax exempt under Section 501(c)(3) of the Internal Revenue Code, schools, municipalities, and other governmental entities that serve a charitable purpose. PFC Shane W. Cantu Memorial FundPFC Shane W. Cantu lost his life during his first tour of duty in Afghanistan. He passed away on August 28, 2012, when an explosive device hit his compound in Charkh. Shane was the first Shiawassee County fatality from the current Afghanistan war. He served his country in the United States Army, 1st Battalion, 503rd Infantry Regiment, 173rd Airborne Brigade Combat Team. The purpose of this fund is to support veterans’ programs and projects in the Shiawassee County area up to $2,500. Select this grant Ryan Jones Memorial Fund: ALSThe purpose of this fund is to benefit patients diagnosed with ALS to improve their quality of life. Select this grant Kailey Elizabeth Jordan Therapeutic Horseback Riding GrantKailey lost her life at the age of 16 in a car accident. She was a junior at Durand High School and was active in tennis, soccer, track, cross country, volleyball, and yearbook. Her love of horses led her to compete with several organizations. After graduating from high school, Kailey wanted to further her education in either horse training or photography. The purpose of this fund is to award grants in Kailey’s memory to accredited Michigan horse camps to allow Michigan disabled or terminally ill children (ages 16 and under) to benefit from therapeutic horseback riding. Select this grant Mackenzie L. Watts Memorial Fund for Cardiac-Related EquipmentMackenzie was participating in an end-of-season swim event on November 21, 2005 when she suffered a cardiac arrhythmia. She passed away a short time later at a local hospital. A 15-year-old Howell High School sophomore, Mackenzie had just earned her second varsity letter. She will forever be remembered as the soul and spirit of the team for her trademark smile and those rubber ducks she always seemed to carry. The purpose of this fund is to provide cardiac-related emergency equipment and/or programs to Michigan-based non-profit community organizations. Select this grant Unrestricted FundThis fund is used to support charitable, scientific, literary and educational purposes as will best enhance the well-being of the residents of Shiawassee County as approved by the Shiawassee Community Foundation Board of Directors. Select this grant Organizational informationLegal Name of Organization(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Website linkTax ID Number (EIN)(Required)Grant Amount Requested(Required)Contact InformationName(Required) First Last PhoneIf different than above.Email(Required) Required AttachmentsNarrative(Required)Please attach a narrative answering the following questions. Be as clear as possible when describing your proposed project. 1. What equipment or program will the requested grant money be used for? Please describe. 2. What is the timetable for implementation of this project? 3. What outcomes do you hope to achieve with this project? How will you evaluate the success of the project? Max. file size: 50 MB. Project budget(Required)Attach a budget, be specific about how grant funds will be spent if awarded.Max. file size: 50 MB. IRS determination letter or proof of the organization's structure(Required)Max. file size: 50 MB. Most recent financial statements or tax return of the organization(Required)Max. file size: 50 MB. Current list of governing body and officers of the organization(Required)School/student organizations must include the name and contact information of their adult advisor/coach.Max. file size: 50 MB. For student/school organizations ONLY: Letter of support from the school principal or superintendentMax. file size: 50 MB. Other partners (if any) in the project and their rolesLeave this field blank if it doesn’t apply. Add RemoveFinal checklistBefore submitting, please ensure you have included the following:(Required) Grant Application Form Narrative Required Attachments Authorized Signature Authorized Signature(Required) First Last Title(Required)Date(Required) Month Day Year Application Copies(Required)A copy of this application will be emailed to you upon completion. Please keep a copy for your records. If needed, additional copies can be requested by emailing rashelle@shiacf.org (include organization name, grant cycle and year in the email). I acknowledge that a copy of this application will be emailed to me after I submit the form.Required Disclosures(Required)The Shiawassee Community Foundation Board of Directors reserves the right to extend any and all grant deadlines at their discretion. They also reserve the right to not award any and all grants in any given year. Completing and submitting a grant application does not guarantee an award. All grants will be made on an objective and nondiscriminatory basis determined by the criteria of each respective fund. Grant amounts vary each year depending on available funding. All grant application information submitted to SCF is handled in a strictly confidential manner. Grant Selection Committee members are required to sign a Confidentiality Statement indicating that they will keep all application information confidential. If funded, you will be required to submit a Final Grant Report to SCF detailing how the grant money was spent (documented with receipts) and how successfully the project achieved its proposed outcomes. Applications may be disqualified if the applicant has an outstanding final grant report from a previous year’s grant. Please contact our office if this is the case. I agree to Shiawassee Community Foundation’s award policies.
