Andona Special Funding Initiative
After a record-setting year of fundraising, Andona will award one grant of $10,000 to the organization with a special project or funding need that best meets the organization’s goal of helping the youth of Andover to learn, grow and achieve. For consideration, entities must submit this request no later than February 15, 2020. While it is not required that the entity or organization reside in Andover, the project for which the funding is requested must benefit children who reside in Andover.
Youth Organization (Service/Program) (Type the name of the organization applying for funds and to whom the check would be written.) *
Your answer
Project Title (What is the name of the program for which the grant is being requested? If the grant would fund general operating or capital expenses, please indicate that.) *
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Summary: In about 20 words only, please summarize what the grant funding would support by finishing this sentence: We would use this funding to... (Example: “provide low-income immigrants and refugees on the North Shore with English for Speakers of Other Languages (ESOL) instruction through conversation groups and one-on-one tutoring.”) *
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Contact Information
Name and Title *
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Address *
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Phone *
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Email address *
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Organization Information
Number of Employees (omit commas) *
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Number of Volunteers (omit commas) *
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Total Number of Youth Served (omit commas) *
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Total Number of Andover Youth Participants (omit commas) *
Your answer
Board Members (Please list all active board members and, if applicable, the organizations with which they are employed.) *
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Board Compensation (Please list all amounts paid by the organization to any board members and/or firms with which a board member is affiliated.) *
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Budget and Revenue Questions
Please enter (as three separate numbers) the organization’s total EXPENDITURES for the most recently completed fiscal year and each of the previous two years. (The numbers should represent the entire organization, not just the department, office, or program related to this application.) *
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Please enter (as three separate numbers) the organization’s total REVENUE for the most recently completed fiscal year and each of the previous two years.(The numbers should represent the entire organization,not just the department, office, or program related to this application.) *
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Other sources of funding (please specify) *
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Request Information
Need Description: In 2,500 characters or fewer (about 400 words), please describe the need for which funds are being requested, the problem to be solved, the gap to be filled, etc. *
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Plan for Grant Funds: In 5,000 characters or fewer (about 800 words), please describe how the funds would be applied to address the need stated above. Please be concise, but specific. Convey who, what, when, where, and how. *
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Results and Measurement: Please summarize the specific result(s) you hope to achieve with assistance from grant funding, and describe how you will measure the success of the program(s).If funding is being requested for an existing program, please also describe past results. *
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