Episcopal Foundation of Dallas

PLEASE NOTE: The application is a two-step process:

Part I. Fill in and submit the online application information requested in Part I by April 15.

Part II. Assemble and submit the supporting materials and signature page requested.
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Part I. Online Application

All fields are required unless marked as optional.

Grant Year	2012
Name of Organization
Organization’s EIN (Employers Identification Number)
Mailing Address
Address 1
Address 2	Optional
City
State	TX
ZipCode
Physical Address
Same as Mailing Address

Address1	Optional
Address2	Optional
City	Optional
State	TX
Zipcode	Optional

Organization Details
County
Phone
Fax	Optional
Website	Optional
Year established
Number paid full-time staff
Contact Information
Please provide the proper name and title of the Rector, President, School Principal, Director or other person of authority who should receive formal correspondence regarding the grant, including grant award letters and checks. The person listed below should also sign the signature page required in Part II.
Name (formal)
Title
Please provide the name and email address of the primary contact person for the grant application. This is the person we will contact for additional information or to arrange a site visit. Please note that, once the Foundation has received all application materials requested, including the supporting materials required in Part II, a confirmation will be sent to the contact person’s email address provided below. If you do not provide an email address, or if you do not receive a confirmation notice by email, it is incumbent on the applicant to verify that the grant application and supporting materials have been received.
Contact Name
Contact Title
Contact Phone
Contact Email
Current Year Operating Budget
Total revenue budgeted	$
Total expenses budgeted	$
Prior Year Actual
Total actual revenues	$
Total actual expenses	$
Average Sunday Attendance, Enrollment, or Numbers Served
Current year projected
Prior year actual
Please provide recent EFD grant funding history, as applicable
Year 2010 Amount	$
Year 2009 Amount	$
Year 2008 Amount	$
If you received a grant in the prior year, you are required to submit a final report on the disposition of funds granted
A final report was submitted.
A final report will be submitted by April 22.
Not applicable. Applicant did not receive a grant in the prior year.

Please Provide a Project Overview
Project Name
Briefly describe the project (Limit to 40 words)
Total project budget		$
Total amount requested in this grant		$ Must equal below
Grant Request Details
	New Program Seed Money/Start-up Funds	$
	Capital Expenses (building, equipment, etc.)	$
	Operating Expenses	$
	Existing Program or Project	$
	Scholarships	$
	Other:	$
	Total:	$ Must equal above
When do you anticipate starting the project?
Estimated completion date

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Part II Required Supporting Materials and Signatures

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Your request cannot be considered without providing the following supporting information to the Foundation. All supporting materials are due April 15. (Mailed applications postmarked April 15 are considered on time).

• A narrative summary of your grant request (three pages maximum):
  • Give a brief history and description of your organization, including a mission statement, if applicable. Help us understand the size of your organization, numbers served, and types of ministries or programs you offer.
  • Describe the program or project for which you seek funding. We suggest addressing these items,if applicable:
    • Description of the need of problem addressed by the grant request.
    • Persons or population served by the program or item applied for.
    • If you are not an Episcopal organization, please describe how your program or project fulfills the Christian ministry and mission of the Episcopal Diocese of Dallas including how your program interfaces with or is supported by Episcopal organizations in the diocese.
    • If this is a start-up or first-year program, what are your plans for funding and sustaining the operation?
    • It is helpful to know whether your organization could still undertake the project applied for if you were awarded less than the amount requested.
    • Please address the timing of the project. If you receive a grant from the Foundation, when will you be able to employ the funds. We strongly prefer that grant funds be employed in the current calendar year.
• A copy of the organization’s current year operating budget with revenue and expenses. (Annual, condensed budget, 1-3 pages, is preferred.)
• A copy of the organization’s prior year balance sheet and statement of revenue and expenses. (Annual, condensed financial statements, 1-3 pages, are preferred. Audited statements are good, if available, but are not required.)
• A detailed project budget and supporting bids (e.g.outside contractor bids, online quotes, price lists), as applicable.
  
• A copy of your most recent IRS letter indicating your agency’s tax-exempt status or, if not available, an explanation. If your church, school, or agency falls under the "group tax exemption" of the Episcopal Church, a written statement to that effect will suffice.
• A list of your Board of Directors or Vestry.
• A completed signature page (Printer Friendly Version) signed by the authorized individual listed in Part I.