John Wieland Homes and Neighborhoods
LoginRegister
HomeAbout UsRealtors

Grant Application Form

Date of Request:  
Name of Organization:  
Name and Title of Contact Person:  
Address:  
City:  
State:  
Zip Code:  
Phone:  
Fax:  
Email Address:  
Website Address:  
Do you have 501(c)(3) nonprofit status?
Yes
No
 
Do you receive funding from United Way?
  Yes
No
 
 
Second Mile provides funding for six priority areas. Please indicate the area that will be addressed through the requested funding:  
Amount of Request:
How is your organization staffed?
What is the mission of your organization?  
How long has your organization been in operation?  
Who is your target population (include gender, income, age, geographic or other characteristics)?  
How many people does your organization serve annually?  
What services do you provide to the community? How are you distinguished from others providing the same services?  
Specifically, how will the requested grant funds be used? Please provide a budget for the requested funds.  
How are your programs evaluated? How often?  
What are the expected outcomes from the requested grant funds (See Instructions for Completing a Grant Application)?  
How many people will be served through the requested grant funds?  
What is the organization’s current annual operating budget?  
% Program  
% Administration  
What is the total budget for the program which you have requested funding?  
List sources and amounts of funding for this project.
Secured:
  
Pursued:  
Do you have a growth strategy or strategic plan? Please explain.  

Experience the Best.
Contact us by Phone 1-800-376-4663