Forestville Community Fund - Application Form

To apply, you can do one of the following:

Fill in the online application below The signature must be mailed. See mailing address below. Download the Signature Page directly below in B.
Download these 2 PDFs: FCF 2019 Grant Application Form and Signature Page, print them out, complete and mail by June 15, 2019.
Mail entire package to the below address.
Pick up paper copies of the application form and the signature page form at one of these Forestville locations:
Forestville Pharmacy or The Service Station
Mail entire package to the below address.

Mail to: When mailing the application and the signature page, they must be completed and postmarked by June 15, 2019.
Forestville Planning Association
P.O. Box 184, Forestville CA, 95436

Community Fund Grant Application Form

Date

Name of Proposed Project (required)

Amount (required)

Organizational Information

Your Name (required)

Name of Organization (if applicable)

Address

Phone (required)

FAX

Your Email (required)

Website

1. Name, phone and email of contact person regarding this application, if different than above.

2. Are you going to be working with other organizations, groups or individuals and, if so, who?

Names working with

Proposal Information

3. Please give a 2-3 sentence summary of your request:

4. Approximately how many people will this project serve and whom will it benefit?

Youth, Amount Served:

Seniors, Amount Served:

Everyone

Other (explain):

5. Funds are being requested for: (chose one)
Physical Improvement
Project Support
Program Support
Other, List:

Project Start Date

Project End Date

Budget Information

6. Dollar amount requested from fund (required).

7. Matching funds from other sources, if any.

8. Total budget for this project (required).

9. Detailed budget for project or activity to include other revenue and expenses.

10. List of additional funders for this project or activity.

Proposal Narrative
11. FULL description of your project and why you should be selected.

12. Description of key staff and volunteers.

13. List the experience you have had that will ensure your success.

14. Provide your long term funding strategies if this is an ongoing project.

15. Describe specifically how the proposed activities or project benefit the community of Forestville or assist with “Downtown Improvement.”

16. Describe results you are expecting and how you will measure your success.

Additional Information

Check all that apply.
17. I am applying only as an individual.
18. I am applying under the umbrella of a business or an established organization (for an example: a business, club, school or church).
18a. The umbrella business or organization’s name is:

19. My organization is a public agency/unit of government.
20. I have a 'financial sponsor'. If so, who are they:

21. My organization is a 501c3 nonprofit.

If you are a nonprofit agency, type in your 501(c)(3) number below.

Additional Comments

Read IMPORTANT info below before hitting Send.
(Required) I have downloaded the Signature Page from the link below and will mail it in after I have applied for a grant.

IMPORTANT
To complete this online form, please download the below signature page, print it out, complete it and mail it by June 15, 2019.
Download the PDF: Signature Page for 2019
→ Mail to: FPA, PO Box 184, Forestville, CA 95436

Your application will not be considered without the signature page.

PLEASE NOTE: If your proposal is approved for a grant from the Forestville Community Fund, you agree, as the recipient, or on behalf of the recipient organization(s):

To provide a written report to the FPA Board within 30 days from completion of the project which could be published in the Sonoma County Gazette.
If requested, present your accomplishments at a Town Hall meeting.
Send to the Community Fund Committee a 6 month progress report if your project is intended to last longer than 6 months.

Community Fund Application Form