Seed Grant Application

Community Heart & Soul Seed Grant Application

1Applicant Info

2Community Info

3Additional Materials

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*
Hidden
Town/City, State (Replaced)*
Town/City State
Population*
Enter a number of the estimated population of your town/city.
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
- No
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
Email
Phone
Is there an additional partnering organization?*
- Yes
- No
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
Email
Phone
Do you have a Fiscal Sponsor?*
- Yes
- No
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
Email
Phone

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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
- No
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.

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Seed Grant Application

Community Heart & Soul Seed Grant Application

Applicant City/Town

Applicant Organization

Partnering Organization

Additional Partnering Organization

Fiscal Sponsor

Community Narrative

Additional Materials

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