DGTT Grant Application

Your Information

Organization Legal Name

Applicant Name

Applicant Email

Applicant Phone

Organization History, and Mission of the Organization:

1. What is the overall purpose of your organization? Please be specific and include how you are serving your participants. Please let us know how your organization addresses Emergency Food Assistance, and if applicable, Homelessness.

2. Please tell us about your mission and how it is carried out into the community. Please include your full mission statement.

Program Specifics including Participants:

1. Describe the program/project to be funded as it relates to Emergency Food Assistance and or Homelessness.

2. How will you specifically use the grant funds that are being requested?

Population Served:

1. What percent of the population served by your organization are DuPage residents?

2. What percent of the population served by this specific program/project are DuPage residents?

3. What specific community or communities will benefit from this program/project?

4. How many individuals will be served by this program/project?

New Program or Established Program:

1. Is this a new, continuing or one-time program/project?
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2. What are your plans for fully funding and sustaining this program/project, and meeting the needs of Emergency Food Assistance, and or Homelessness?

3. Specify other funding sources or steps you have already taken to get additional funding to support it.

Collaboration:

1. What other agencies, if any, are you working with on this program/project? Describe collaborations and activities. If none, explain.

Board Giving and Participation:

1.What percentage of your board of directors supported the organization with a personal financial gift this past fiscal year? If not 100%, please explain.

2.Do any of your board members have personal experiences related to the services you provide or are past clients of your organization? If so, please describe.

Volunteerism:

1. Please describe how volunteers (including board and committee members) actively contribute to the overall work of your organization.

Stories:

Please share two stories of individuals who have benefited from the program you are seeking funding for.

Relevant Information:

Please include any relevant information as it relates to your application you feel we should know (750 characters max).

Along with the application, the following items must be included and submitted by the due date:

Organization budget

Program budget (showing how grant funds will be used)

Organization W9

IRS 501c3 determination letter

Board members – employer/position, if retired, former profession

Demographics – Impact (Families served, Individuals served, Intake criteria, Length of time client served, Geographic area served (Do you refer clients out of your basic serving area to a pantry closer to their home?)