Roland Park Country School

Organization Name:*

Are you creating a new organization or expanding on an already existing one?*

Address:*

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

Website:*

Primary Contact:*

First Last

Primary Contact Title:*

Primary Contact Email:*

Primary Contact Phone:*

Is your organization a 501(c)3?*

Fiscal Year:*

Tax ID:*

IRS Exception Certification:*

Max. file size: 256 MB.

Date of Last 990 Filed:*

Copy of Most Recent 990:*

Max. file size: 256 MB.

Date of Last Annual Report Filed:*

Date of Last Addicted Financial Statement:*

Name of Auditing Firm:*

Number of People Served Annually:*

Total Agency Budget:*

Year Organization Was Founded:*

Geographical Region of Project:*

How Much Money Are You Requesting?*

Overall Program Budget*

Max. file size: 256 MB.

Please copy and paste the following link to view the format required of this budget: https://docs.google.com/spreadsheets/d/1-42nXSkhAVHF7OfpU-CrIhtG2nkVxaxpPD8QJYOuKTA/edit?usp=sharing

Write a brief summary that explains your overall project idea, including what you want to achieve, why, where, and how. Include a brief description on how your project relates to Philanthropic Literacy Board’s mission statement. (500 words)*

What are the initiatives you plan to undertake? How will you implement them? (250 words)*

Why is there a need for your project in your community? Please present survey information, interview responses, statistics, and other information that you have gathered about your intended target population to verify that your project is desirable and feasible. (250 words)*

What are the benefits and the impact that your project is hoping to accomplish in Baltimore City? Please elaborate on which aspect (education, healthcare, or legal resources) your project will focus on. (250 words)*

What are the expected results of your project? How will you monitor the project during and after implementation? How will you know you have been successful? (250 words)*

What skills and experiences do your team members, partner organizations, volunteers, etc. bring to your project? How will each stakeholder help the organization? (250 words)*

What is your long range plan for sustaining or expanding the project after the grant period? (250 words)*

Grant Application