Contact InformationOrganization Name (as it appears on IRS exemption letter)Organization EINAddressCityStateZipPhoneWebsiteName of person completing applicationPhoneEmailExecutive Director/President/CEO NamePhoneEmailProposal InformationDollar amount being requestedTotal anticipated project budgetOrganization annual operating budgetPlease check one:Please SelectCommunity & Environment EnhancementYouth Enrichment & DevelopmentDescribe the anticipated number of people living in 67208, 67214, or 67219 this project will serveProject titleDescribe your project and the community issue it addresses (400 words)How will this funding help you reach a solution? (200 words)Who will lead the project at your organization? (200 words)How will you measure the impact of this project? (200 words)How have you determined there is community support for this project? (200 words)Describe how this project will be sustainable. If the project will require funding beyond this grant, outline what identified sources of funding exist for future years. (200 words)How do you anticipate the project will contribute to a sense of community? (200 words)Will this project leverage additional resources? How? (200 words)How will this project/your organizaiton serve as a change agent for the community? (200 words)Organization InformationPlease describe the mission of your organizationWhen was your organization founded?Uploads (must be sumitted via Word or PDF)Project BudgetBoard of Directors ListCopy of 501c3 designation letter from IRSHave you received prior grant funding through the Wichita Community Foundation?Please SelectYesNoIf yes, document its relative successI certify that the above information is correct to the best of my knowledge and belief. This application has been duly authorized by our organization’s governing body. The tax exempt status of this organization is current. Dollars received through the Wichita Community Foundation for the purposes described herein shall be restricted as stated herein.