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2. Nominator’s Name (if applicable):*
4. Organization Name:*
5. Organization Contact Name:*
7. Organization Address:*
9. Address2
11. City
12. State
13. Zip
15. Contact Email:*
16. Contact Phone:*
18. Tax Status/Tax ID Number *
20. Organization Mission:*
22. This area should only be filled out if you are the organization apply for funding. If you are nominating, see the next section.
24. 1. Describe the program or project you seek to fund and how it benefits the residents of Grandview Heights and/or the community:
26. 2. Approximately how many Grandview Heights residents will be served by your proposed program or project:
28. 3. Is this a new or ongoing program or project for your organization? If new, explain background:
30. 4. Describe how your program or project serves a unique need that is not already addressed by other public or private programs:
32. 5. What is your total budget for the program or project:
34. 6. What are the revenue sources available for your program or project and how much are you receiving from each:
36. 7. What is your fundraising goal, your timeline for reaching this goal, and how much have you raised to date (provide detail on requested/confirmed donors):
38. 8. If you were awarded a Community Partners grant, how would you use the funds? Please include a timeline:
40. 9. How will you measure or quantify success or deliverables for completion of your program or project:
42. 10. What is the amount are you requesting?*
44. This section should only be filled out if you are a nominator wishing to nominate an organization for funding of which you are not affiliated with.
46. 1. Why do you feel this organization should be funded?
48. 2. How will these funds be used?
50. 3. How has this organization/program impacted Grandview Heights?
52. Attachments and Supplemental Information
54. The following is not mandatory, but may be useful to explain your project or organization: 1. Board organizational chart and/or list of Board members, key staff and volunteers. 2. Other information that may be useful to describe your project.
56. Attachments*
58. Applications are reviewed monthly, with the final deadline being 5:00pm on October 31st annually by U.S. Mail, hand delivery or email to: Leilani Napier, Clerk of Council City of Grandview Heights 1016 Grandview Avenue Grandview Heights, Ohio 43212 Lnapier@grandviewheights.gov
60. All grant decisions are made at the sole discretion of City Council and all decisions are final.
62. A grant award in one year is not an indication of future funding and should not be relied upon in the organization’s budget process. Grant applications that are declined, either for lack of available funding or other discretionary reasons, may reapply in future City fiscal years.
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64. 1. Receive an email copy of this form.
65. Email address

    This field is not part of the form submission.

66. Submit

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