Application for SSI project funding
Please provide the information outlined in;
(A) Cover letter and project description as the initial step to initiate consideration for SSI to fund your project.
(B) Additional information that will be requested by SSI before funding is approved.
A. Cover letter and project description
Date of Application
Full Legal Name of applying organization
Amount Requested: $
Total Project Cost: $
Date funds are required from SSI
Beginning and Ending Dates of the Project
Write an executive summary narrative that includes
Description of the project.
Outcomes you plan to achieve
Who the project serves and why it is important.
Geographic Area to be Served
How the funds will be spent
Indicate how SSI will be recognized
What other organizations are involved, either by financial support or collaboration:
The letter should be signed by the board president or executive director.
Senior Services, Inc.
P.O. Box 18561, Fountain Hills, Arizona, 85269, U.S.A.
President, Lynn Strang, firstname.lastname@example.org
B. Additional information
1. Verification of tax-exempt public charities status
2. Organizational structure listing officers and directors
3. Financial statements, Prior year closing & Current year latest
a. Balance sheet
b. Income statement reflecting (source & use)
c. Cash flow
Include all income, grant revenue & all general & project expenditures
4. Sketches of project if applicable
5. A Report at the conclusion of the project.
6. Receipts may be required