Grant Application and cover letter

2017 SOCIAL SERVICES CONTRIBUTION APPLICATION

Service

Mission: Identify and describe the mission of the applicant responsible for the program(s). Please provide an official formal short statement of the value proposition of an organization.

Program(s): Identify the program(s) the City’s funding will support. Describe the program’s services and justify why it’s needed.

Goal & Objectives: Identify the goal and related objectives of the program(s) that the contribution will support. The identified “Goal” should provide a broad primary outcome. The identified “Objectives” should provide measurable steps that will be taken to achieve the identified “Goal”.

Objectives:

1.      

2.      

3.      

Grant Narrative: A summary of the program(s) to be funded. Please provide your proposal including the organization’s background information and achievements.

Collaboration: Describe existing partnerships with city departments, other community organizations, how the services offered in your organization are duplicated around the area, and how they are unique.

Does the program(s) have a Sustainability Plan? If so, describe three core points.

Program Fee Structure: How much do participants pay to participate in this program? If a fee is collected, please describe how program income is used.

Volunteer Base: Does the program(s) use volunteers? If yes, how many volunteers and the number of associated hours?

Funding

Describe major changes in 2016 projected expenditures versus 2017 proposed expenditures.

Describe major changes in 2016 projected revenues versus 2017 proposed revenues.

Does this program(s) receive other funding from the City, United Way, or another outside agency through a contract or other relationship? If yes, please identify the source and describe the purpose of the contract and/or relationship. Please include all outside funding sources including donations and grants to show evidence of diversity in funding.

Approximately how many times have you applied for ANY funding from the city (including Social Services, CDBG, Cultural Contributions, etc.) within the last 5 years?

Percentage of last 3 budgets from City of Savannah:

% City Funding:    

If this program does not receive funding at the level requested, how can the service be scaled back to meet the minimum service needs of citizens?

Performance Measures

Performance Measures Outcomes: Identify up to ten (10) performance outcomes to be achieved. Performance Outcomes should describe the specific service to be provided and the number of participants/clients that are expected to achieve the outcome. These measures represent a promise of service to be delivered to citizens. Those participants/clients included in performance measurement should be City of Savannah residents only. Performance Measures may need to be adjusted based on approved funding.

Performance Measurement documentation procedures: What procedures will be used for documenting performance measures?

How do you measure quality of life improvement in your clientele and show results?

Do you currently perform a customer satisfaction survey?

|_| Yes |_| No

Certification & Accreditation

Is the applicant or any of its programs accredited by a State, Federal or other agency? If yes, identify the agency.

Is the applicant incorporated? If no, explain legal status of applicant.

|_| Yes |_| No Status of Applicant:      

Is the applicant a non-profit organization?

|_| Yes |_| No Tax ID:      

Is the applicant a church sponsored organization and does it intend to carry out any religious activities as part of the proposed program(s) for which funds are being requested? If yes, please explain.

|_| Yes |_| No     

Does the applicant certify all information submitted in this application is accurate and true?

Did the applicant's governing Board approve submission of this request?

Submit the Completed Application Electronically to:

Ashley Simpson, Research and Budget Assistant Director

[email protected]

912-651-6490

OR

By Mail or Hand Delivery

Research and Budget Department

Attn: Ashley Simpson

6 E Bay Street-Lower Factors Walk

P.O. Box 1027

Savannah, GA 31402

Application Checklist

All Applications must be received no later than 4:00 pm on June 30th.

I certify that all information included in this application package is accurate and true to the best of my knowledge.

Executive Director and/or Date

Governing Board Executive

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