Berks County Community Foundation-YAC Application

Youth Advisory Committee Program Grant Application
Each year the Youth Advisory Committee of Berks County Community Foundation awards grants to local agencies dealing with youth-related issues. The YAC members study community issues and select an area of concern that they believe is of high importance to youth in our community at that time.

The 2011-2012 YAC Grant Theme: Stomp It Out!
This year YAC members are passionate about joining the effort in preventing and reducing bullying among youth in Berks County. YAC is seeking grant applications from nonprofit organizations dedicated to stomping out the cycle of abuse. Specifically, this includes both existing and yet-to-be-programs associated with bullying, preventing suicide and depression, and raising self - esteem and self - awareness.

Programs that match YAC's focus might address, but are not limited to, the following topics:

- Peer Mentoring
- Youth Counseling
- Raising Awareness
- Education on effective solutions on how to respond to bullying

YAC has $15,000 available for programs that meet these objectives.

Application Deadline: January 13, 2012 (Decisions made by April 13, 2012; Funds made available after May 15, 2012).

Requirements for Grant Consideration:

Grant Application
Additonal Requirement Documents (listed below)
Site visit with members of the Youth Advisory Committee, which must be completed by March 19, 2012. Applications will not be considered without a site visit

Please note the following eligibility requirements:
Tax-exempt or public benefit organizations, individuals, associations and private or public agencies are eligible to apply. The grant must be used for charitable purposes only. Organizations are eligible to apply to more than one grant program in the same year.

Additional Required Documents: Please mail the following additional information to the Youth Advisory Committee, (c/o Berks County Community Foundation, 237 Court Street, Reading, PA 19601) for receipt before the deadline:

A copy of your IRS determination letter, if applicable
A copy of your organization's most recent annual report, if available
A copy of your organization's current operating budget
No more than two examples of recent articles or other materials that describe your organization's work, if available

Please complete the application below and submit it online. The Youth Advisory Committee will carefully review all applications.

Organization requesting grant:

Contact Name:

Prefix	First	MI	Last	Suffix

Title (if applicable):

Street Address:

Address 2 (optional):

City:

State: Zip Code: County

Phone Number (xxx xxx-xxxx):

extension:

Fax Number (xxx xxx-xxxx):

Email address:

Organization's website address (if applicable):

Date (mm/dd/yyyy):

Are you a/an:

501(c)(3) organization
Individual
Church
School
Government Entity
Other

Program/Project Name:

Amount of Request (amount of money you are asking the Youth Fund for):

Total Project/Program Cost (Total cost including funding from other sources):

Purpose of Grant Request (one sentence):

Organizational Background
What is the history and mission of your organization? (two-three paragraphs):

What are some of your current programs and activities, including populations and geographies served? (two-three paragraphs):

Program Information
Describe the specific program or project for which you are seeking funds by answering the following questions.

What are the program's goals and objectives?

What is unique and innovative about this program?

What are the specific program outcomes you hope to achieve?

What specific activities will you undertake to achieve the expected outcomes?

Are youth involved in the planning or implementation of this program?

What is your timetable for implementing the program?

Why do you think this program will benefit the community?

How does this program relate to other existing programs in the community?

Funding

What is the specific use of the program funds requested in this grant application?

What are your plans for obtaining other funding needed to carry out the program or project?

What are your plans for continued funding of the program if the program is expected to continue beyond the grant period?

Evaluation

How will you know if you have achieved the expected outcomes?

How will progress be tracked and outcomes measured?

Additional Information

Please list the members of your organization's board of directors, if applicable.

Please provide a one paragraph summary of the qualifications of each of key staff member responsible for the program or project for which this grant is requested.

Please attach a budget worksheet that shows the project's expected income and expenses, including other sources of income. Note the specific expenses to be covered by these grant funds.

How did you hear about the Community Foundation?

REMINDER: Please mail the following additional information to Berks County Community Foundation for receipt before the deadline:

A copy of your IRS determination letter, if applicable
A copy of your organization's most recent annual report, if available
A copy of your organization's current operating budget
No more than two examples of recent articles or other materials that describe your organization's work, if available