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OST Funders 2024 Summer Common Application
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Business Information
Organization Name
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Organization Address
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Summer Program Name
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Summer Program Site Address
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Contact Person Name for Proposal Follow-Up
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Phone Number of Contact Person
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Email of Contact Person
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Is this organization a non-profit?
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If you have a non-profit fiduciary/umbrella organization please write their name? (If you are a non-profit without a fudiciary, write N/A)
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Program Information
Program Start Date
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Program End Date
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Number of days per week the program will operate
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What days of the week will you provide services?
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Total hours per day the program will operate
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Age group(s) to be served
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Where will your program be located (address)? What geographic location do you serve (neighborhood/zip codes)?
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Describe your target population
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Number of youth to be served
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Describe the activities the youth will engage in.
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Will meals be provided? Select if hot or cold.
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Program/Community Impact
How will the program motivate and engage young people?
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How is the program committed to equity and justice?
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List the program goals and outcomes. Please limit to 3-4 key priorities. How will you measure success?
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How will social and emotional development skills and needs be addressed?
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How will your program impact youth mental health?
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What is your plan to maximize attendance? How are participants recruited to attend?
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Budget Needs
Total Program Cost
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Amount Requested
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If you were to receive this grant, how would the funds be used? Be specific. Budget line items with amount and description.
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Are you able to offer the program if you receive partial funding? If so, how would that impact your outcomes?
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What other funds or funders will be used to support this program?
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Is transportation required? If so, how is it traditionally provided?
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If awarded, when do you need cash in hand?
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Evaluation
What data do you collect and how do you store it?
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Are any assessment tools utilized? If so, what?
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How do you know you are having an impact?
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