Funding Application Form

Funding Application

The Indian Springs Community Chest appreciates the services provided to our community. Please complete the information below to earn consideration for funding and admission to the GISCC budget.

The fiscal year is October 1st – September 30th. The approved budget will be available on-line following our October Director’s meeting. A letter requesting the funding may be submitted any time following the approval of the budget, but should not be requested prior to the actual intended use. Since GISCC funds are received in monthly installments, not all funds are available immediately; thus only selected pre-approved Agencies will receive any of their requests prior to the 2nd quarter of GISCC's fiscal year.

Funding Application
File Size:	17 kb
File Type:	docx

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FAILURE TO PROVIDE ALL REQUESTED INFORMATION MAY RESULT IN REJECTION OF FORM.

Budget Account # *

Agency Information

* Indicates required field

Agency Name *

Federal Tax ID # (N/A if none) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Contact Person(s) *

Budget Information

Amount budgeted prior year *

Specific amount requested for upcoming year *

What is current fund balance? *

Submit Copy of Previous Budget *

Max file size: 20MB

Submit Copy of Most Current Budget *

Max file size: 20MB

Submit Copy of Most Recent Financial Audit or Review *

Max file size: 20MB

Purpose & Use

Name of Project or Fund *

Describe specifically how funding was used during the prior year (detailed and itemized information required). *

If different from above, describe specifically how funding will be used during next fiscal year. If same, type 'same'. *

Service Area

Is this service available to residents of the Greater Indian Springs Community? *

Yes No

What is the cost to those who use the services provided? *

Value & Benefit

State the value and benefit of the services provided to the Greater Indian Springs Community *

Electronic Signature *

Date *

Submit Application