Seed Grant Application

Community Heart & Soul Seed Grant Application

"*" indicates required fields

1Applicant Info

2Community Info

3Additional Materials

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Applicant City/Town

Please enter the following information for the City/Town applying for the Seed Grant.

For application requirements please reference our Seed Grant Guidelines.

Town/City*

State*

Tribe Name*

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Town/City, State (Replaced)*

Town/City State

Population*

Enter a number of the estimated population of your town/city. Grants are available to any eligible community with a population under 30,000.

Please describe the geographic scope of your proposed Community Heart & Soul project.*

Applicant Organization

Please provide information for the lead organization applying for the Seed Grant. Lead organizations may be local governments, 501(c)(3) non-profit organizations considered a public charity by the IRS, or informal resident-led groups.

Organization Name*

Contact Name*

Please enter the name of the lead contact within the organization.

First Last

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Phone*

Do you have a partnering organization?*

Yes

Partnering Organization

Organization

Contact Name

Please enter the name of the lead contact at the partner organization.

First Last

Mailing Address

Street Address Address Line 2 City State ZIP Code

Phone

Is there an additional partnering organization?*

Yes

Additional Partnering Organization

Organization

Contact Name

Please enter the name of the lead contact at the partner organization.

First Last

Mailing Address

Street Address Address Line 2 City State ZIP Code

Phone

Do you have a Fiscal Sponsor?*

Yes

Fiscal Sponsor

Please provide information for the fiscal sponsor if it is an organization other than the lead applicant. A fiscal sponsor must be designated in order to receive the grant funds.

Organization

Employer Identification Number (EIN)

Contact Name

First Last

Mailing Address

Street Address Address Line 2 City State ZIP Code

Phone

Community Narrative

To prepare your narrative, refer to Getting Started With Community Heart & Soul: A Community Workbook, which is available for download. The workbook will help you and your partners prepare responses to the following questions.

Describe your community*

Tell us about your community’s demographics, local assets, culture, etc. Who lives there? What brought them to your community and why do they stay? What contributes to your community’s unique history and culture?

Do you intend to include more than one municipality in Community Heart & Soul?*

Yes

Describe the municipalities involved*

Tell us about the communities that will be involved, how the municipalities intend to collaborate, and the reasons you believe a multi-town effort makes sense for your community.

Please Note: You must designate a lead applicant (and a fiscal sponsor to receive the funds) –however, all municipalities are expected to submit a letter of support.

Explain why Community Heart & Soul a good fit for your community.*

Why are you interested in implementing Community Heart & Soul? What do you hope the process will accomplish for your community?

Tell us about the group of resident leaders involved in submitting this application and your plans to build a Heart & Soul team.*

How will you establish a core leadership team for the Heart & Soul process? What preliminary ideas do you have to engage additional residents in the process?

Describe the partner organizations supporting this project.*

Who are your partners and what do they bring to the table? What, if any, experience do the partners have in collaborating on community issues or projects?

What financial resources are available to support this project.*

How will you match the $10,000 seed grant? How do you plan to cover costs such as the Project Coordinator, Heart & Soul Coach and other project expenses?

Budget Note: Although we are not asking for a project-related budget, we encourage applicants to refer to Getting Started With Community Heart & Soul: A Community Workbook to familiarize themselves with the sample budget and costs associated with the Heart & Soul process. This question is meant to help potential grantees consider existing resources/assets in the community and how they might use these to support implementation of the model. Heart & Soul Coaches can provide additional guidance on budgeting to grantees as part of Phase 1.

Is there anything else you'd like us to know about your application?*

You may use this space to describe key factors or circumstances that could have an impact on Community Heart & Soul in your community.