Grant Application

The Kiwanis Club of Tampa
4532 W Kennedy Blvd #183, Tampa, FL 33609
Admin@TampaKiwanis.org Web Site: www.TampaKiwanis.org
Tampa Kiwanis Foundation Federal Identification #59-6152595
Please complete this form as fully as you can. Attachments are accepted, but discouraged.

Guidelines for Foundation Grant Requests
Checklist for Foundation Grant Requests

Foundation Grant Application

Step 1 of 3

Organization Information
Organization:
Contact Name:*
First Last
Contact Phone:
Contact Email:*
Mailing Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date Needing Grant:
MM slash DD slash YYYY
Amount Requested:*
Title Of Request:*
(In a sentence, summarize the purpose of the grant request)
Have you previously received a grant from the Tampa Kiwanis club?
- Yes
- No
- Not Sure
Date of Last Kiwanis Club Grant Award:
MM slash DD slash YYYY
Amount of Last Kiwanis Club Award:

Organization's Background Information
Organization's Current Operating Budget:
Description of Organization's Purpose:
Description of Organization's Major Activities:
List of Organization's Current Board of Directors:
List of Organization's Current Corporate Contributors:

Kiwanis Grant-Specific Information
Purpose of the Kiwanis Foundation Grant Request:
Budget for Grant Request:
This includes the total project budget and the amount of funds that you are requesting.
After the period of the Kiwanis grant is over, do you intend to continue the new program or expanded program funded by this grant? If so, how you will fund the new / expanded program in future years?
Describe the purpose of your request.
Include a description of the target population that benefits from your proposal and a projection of the number of people to be served.
Describe How the Kiwanis Club of Tampa will be recognized for providing the Grant:
Describe if there is potential for Kiwanis Club providing ‘hands on’ assistance with this project.
Describe how the success of your proposal will be measured.
(NOTE: Successful grantees are required to provide a brief 6-month report to document that the grant is being used AND a 12-month status report of progress in meeting the measurement of success. Grant recipients will be given directions for this reporting).
Attachments
Please attach the IRS Letter of Tax-Exempt Certification:
Max. file size: 64 MB.
Were you referred to the Kiwanis Foundation by a Kiwanis member? If so, who? (This is not a requirement, we would like to let that member know about your application)
If you wish (though not required), you may attach a letter of support from a Tampa Kiwanis member.
Max. file size: 64 MB.
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Grant Application

Foundation Grant Application

Step 1 of 3

Organization Information

Organization's Background Information

Kiwanis Grant-Specific Information

Attachments