Idaho Food Bank Fund Grant Application Form Form Instructions (Will Open in Separate Window) Idaho Food Bank Fund Grant Application This is the 2019 Application Form Step 1 of 5 20% Organization InformationApplicant Organization Name*Applicant Organization (also known as, if applicable)Communities Served by Organization (Limit 25)*Click the plus button on the right to add rows to the form 501(c)(3) Letter Date*Federal Employer Identification Number (EIN)*(9-digit format)Name of Executive Director/Authorized Representative*Contact InformationGrant Application Contact Name*Title*PhoneFAXEmail* Enter Email Confirm Email Address* Street Address Mailing Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Website (If Available)Enter the full website address beginning with http:// example: http://www.idahofoodbank.org/ Organizational Financial InformationOrganization's Budgeted Expenses for Current Fiscal Year*Fiscal Year Ended* Date Format: MM slash DD slash YYYY Organization’s Major Funding Sources (e.g. United Way, local community foundation, etc) (25-word limit)*Grant Request InformationProgram/Project Title*Total Budget for program/project*Total budget for this program/project only. If applying for general operation funding, re-state organizational budget.Amount of Request*Is this a new project or ongoing?*NewOngoingIf New, Anticipated Start Date Date Format: MM slash DD slash YYYY How many hungry people does your organization serve, either per week or per month? (25-word limit)* Organizational Background1. Brief summary of organization’s history and statement of organization’s mission. (1 -2 paragraphs, 100 word limit)*2. What is the hunger need in your community? If your organization weren’t here to help, where would people go for assistance? What challenges would they face? (1-2 paragraphs, 200 word limit)* Program/Project Description & Methodology1. Describe the program/project to be funded and how it eases hunger in your community. (2-3 paragraphs, 300 word limit)*Be specific about the activities you will undertake and how the funds from this grant would be used. If the funds will be used to purchase specific items, please describe the items and why they are needed. 2a. Program/project budget: Please limit budget to six line items (you may combine categories as needed).*Add budget lines to the form by clicking on the plus sign on the right. Please note total budget must match total budget under Grant Request Information.Budget CategoryExpense 2b. Briefly describe your organization’s ability to develop and sustain this program/project. (1-2 paragraphs, 200 word limit)*Describe what (if any) other resources you will need to complete/sustain this project and how you will attain those resources. Include other anticipated funding (e.g. earned revenue, special events, fundraisers, other grants) as well as non-monetary resources (volunteers, in-kind support, partnerships, etc.). Evaluation and ResultsDescribe the specific short-term, intermediate, and/or long term outcomes of this program/project and the timeframe in which they will occur. (1 -2 paragraphs, 100 word limit)*CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
