GRANT APPLICATION - READING & LEARNING CENTER / COMPUTER LAB

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2016-2017 GRANT APPLICATION - READING & LEARNING CENTER / COMPUTER LAB

The Dallas Mavericks Foundation (The Mavs Foundation) is dedicated to building a stronger community by empowering youth, women and families who need us most through financial support, advocacy and service.

Visit www.MavsFoundation.com for more information and a complete listing of previous award recipients. ELIGIBILITY:

In order to receive funding from the Mavs Foundation, organizations must:

 Qualify as a 501(c)3 tax exempt public charity, with 501(c)3 status that has been active for at least two years.

 Operate programs within 150 miles of American Airlines Center in the Dallas/Fort Worth Metroplex

 Provide programming that benefits children, women or families in North Texas

 Use the funding within the designated grant year (Oct. 2016 – Sep. 2017) GUIDELINES/RESTRICTIONS:

Grants will not be made to:

 Individuals

 Churches

 Public, Private or Charter Schools

 National organizations that do not have locally, financially independent chapters Grants will not be made for:

 Salaries

 Medical research

 Travel

 Political campaigns or fundraising events, including the purchase of tables, tickets or advertisements The Mavs Foundation does not commit funds for multi-year grants, endowment campaigns, administrative costs, advertising or fundraising drives, intermediary funding agencies and/or research. If an organization is awarded a grant for two consecutive years, that organization will be ineligible for an award the following year.

TO APPLY FOR A GRANT: Application Form and Completed Application REQUIRED for each Request Type 1. Complete the ONLINE GRANT APPLICATION FORM with executive summary.

* NEW *

2. Submit the COMPLETED APPLICATION (must be in this order): a. Completed application (no more than 6 pages)

b. Attach copy of IRS final determination letter - 501(c)(3) only.

c. Include your wish-list for a new Reading & Learning Center/Computer Lab, along with the actual or tentative project budget.

d. Include the proposed project timeline.

e. Include a roster of your officers and board members.

f. Please send 10 complete sets of your proposal. Incomplete packets and/or handwritten applications will automatically be disqualified. Requests for grants cannot be processed via fax, e-mail or telephone. g. Staple the entire application together (do not use paper or binder clips, folders, etc.).

Please do not include any other attachments. Additional pages will not be considered.

APPLICATION DEADLINE: All applications must be received in our office by 5 p.m. June 30, 2016.

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2016-2017

Mavs Foundation Grant Application Form

Reading & Learning Center / Computer Lab Project

**Applications are due by

5 p.m.

on June 30, 2016**

Please type all information below (handwritten applications will not be accepted). Application should not exceed eight pages (not including support documents). Remember, only complete applications will be considered. Please refer to the requirements at the end of the application and submit all necessary paperwork.

Organization:

Legal name of organization (if different from above): Project/Program Name:

Address: City: State: Zip:

County: Phone: Website:

Organization's CEO/Executive Director:

Name: Phone: E-mail:

Organization's Board Chair:

Name: Phone: E-mail:

Key Contact for this proposal:

Name: Title: Phone: E-mail:

Organization Mission Statement: (max 50 words)

Organization Year Established: ___________ EIN/Federal Tax ID #: ___________

# Full-Time Staff:___________ # Part-Time Staff:___________ # Volunteers:____________

Operating Budget: $ Amount budgeted for this project:$______________________ Address for Potential Reading & Learning Center (if different from above):

Address: City: State: Zip:

Is this room currently being used for educational purposes? ____ Yes ____ No

Approximately how many individuals will this project serve? Per Month:__________ Per Year:__________ What is the age group and geographic service area for this project?

Have the Dallas Mavericks or the Mavs Foundation contributed to your organization in any way in the past? (Past grant, donation, autographed item, tickets, mascot or player appearances, etc.)

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Organization History & Overview:

Types of programs offered, annual impact/results in community, etc.

Very clearly, please describe how the Reading & Learning Center or Computer Lab will be used: Types of programs, age group served, etc.

Please describe the current state of the space, how it is used and/or the need for the Reading & Learning Center or Computer Lab:

Please include your “wish-list” of items for this room if you are selected:

Would you be able to vacate the designated room if selected for this project? If so, for how long?

What is the relationship of this project to the overall mission of your organization?

What are the expected results for a Reading & Learning Center or Computer Lab? Short-term Results: (ie. volume of activities accomplished or number of people served)

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Evaluation Plan:

How will you measure the above results and/or the project’s effectiveness?

Tell a story/share an example that illustrates the impact of your proposal or organization on an individual:

What are the top three "pros" of this project and/or why should the Mavs Foundation choose this project?

What public or private agencies will you work with in carrying out this project? (ie: Are you collaborating with other organizations and how? Are you receiving other grants to help with this project or its goals?)

Executive Summary: (max 200 words)

3-4 sentences summarizing organization, need for renovation and impact new space will have

If your organization receives a grant from the Mavs Foundation, does your organization, in consideration thereof, (1) warrant and represent that any amount received from the Mavs Foundation will be used solely for the purpose you described herein, and (2) hereby agree to submit, upon request, independent audits showing how your organization used any such grant from the Mavs Foundation?

________Yes ________No

The undersigned certifies the information and statements in this application are true and correct as of the date submitted. The undersigned understands falsification and/or omission of material facts in this application may be cause of disqualification. The undersigned acknowledges the Mavs Foundation is relying on the information contained in this application and other statements or materials submitted to decide whether to give the requested funds.

Signature of person authorized to submit this proposal Name and Title:_________________________________________________ Printed Name:__________________________ Title:____________________________ Date:__________________

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TO COMPLETE APPLICATION:

1. Complete the ONLINE GRANT APPLICATION FORM with executive summary.