FY17 CCF Proposal Summary Sheet Community Fund
Please fill out this proposal summary sheet and submit it. Be sure to follow the proposal guidelines on the CCF website.
Email address
CCF COMMUNITY FUND: SMALL OR LARGE GRANTS
Date
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DD
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YYYY
Name of Agency
Your answer
Agency Address (Street)
Your answer
Agency Address (line 2)
Your answer
Agency City, State, Zip
Your answer
Website
Your answer
Is Agency a 501(c)3?
Required
If Yes, Please provide EIN #
Your answer
If No, please provide name of Fiscal Sponsor
Your answer
Fiscal Sponsor's EIN #
Your answer
Agency Executive (Name & Title)
Your answer
Agency Executive's Email
Your answer
Agency Executive's Phone #
Your answer
Proposal Contact (Name & Title)
Your answer
Proposal Contact Email
Your answer
Proposal Contact Phone #
Your answer
Are you applying for a SMALL or LARGE Grant
Focus Area of Request (Program or Nonprofit)
Your answer
Type of Request
Purpose and brief summary of Program for which you are requesting a grant including location, time-line, outcomes:
Your answer
Total Cost of Program
Your answer
Amount of Request
Your answer
List private or public funding sources for this project. What has been (R) requested or (CR) committed/received?
Your answer
Who will benefit? (include demographics)
Your answer
How many people will benefit?
Your answer
What % of low-to-mid income people will be served?
Your answer
How many Cambridge residents will benefit?
Your answer
Does this Program strategically enlist new collaboration to do the work, or deepen & broaden prior partnerships?
If Yes, please describe the collaboration
Your answer
Have we funded this or any program sponsored by your agency before? If yes, when? How was the money used?
Your answer
A copy of your responses will be emailed to the address you provided.
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