Apply for Grant | Mildred Faulkner Truman Foundation

Apply for a Grant

Application Checklist — To complete this form, you should be prepared with the following:

Approximately 20 minutes to complete;

Contact details for your organization;

Separate documentation prepared to upload including:

Your IRS tax exemption letter;

A description, timetable and budget for your proposal

A directory of your organization’s Board of Directors

A 5-year continuity plan approved by your board

Other supporting documentation

It is suggested that you review the entire application before beginning, to ensure that you have collected the information needed to complete it.

Additional Instructions

Please Note: All files must be in one of the following formats: Word, Excel,PDF, Plain Text Document.

If you have problems uploading files or cannot provide files in the required formats; please upload a blank document in its place, and then contact MFTF for further instructions.

Thank You!

Mildred Faulkner Truman Foundation

If you are unable to apply online, you may download a Print Application.

Grant Application

Organization Information
Date of Application*
MM
DD
YYYY
Name of Organization (exact legal name)*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Website
Does your organization have a religious affiliation? (If yes attach a one page explanation)*
- Yes
- No
Religious affiliation explanation (if applicable)
Attach copy of tax exemption letter from IRS*
Executive Director*
First Last
Grant Contact
First Last
Amount of Grant Request*
Summarize purpose of grant (limit to 3 sentences)*
Attach 1 page (maximum) description of project and benefit to Tioga County residents*
Check One*
- Seed Support
- Special Project Support
- Capital Project Support
Total organizational budget (for current year)
Dates covered by this budget (mo/day/year - mo/day/year)
Attach a 1 page budget summary showing income and expenses / assets and liabilities for this current year*
Attach 1 page list of organization’s Board of Directors, include county of residence*
Number of Full-Time Paid Staff*
Number of Part-Time Paid Staff*
Number of Volunteers*
Attach one-page explanation if organization has experienced a deficit in past three years
Total project or seed budget:
Attach one-page (maximum) of project/seed budget
Attach one-page timetable*
Dates covered by this project (mo/day/year - mo/day/year)
Attach estimates for project*
Attach 1 page list of all sources of funding toward project (include actual and prospective amounts)*
What percentage of your income goes towards raising funds?
Please enter a number from 0 to 100.
Evaluation: Explain results you expect to achieve from this project and how you will measure project's success (limit to three sentences)
What is your organization's continuity plan? Please submit a five year organizational plan and proof of approval of that plan by your Board of Directors. Please provide information as an attachment*
We, the undersigned, represent to the Mildred Faulkner Truman Foundation that the organization's annual budgetary information is true and accurate.
Digital Signature: Board Chair, Indicating Approval*
Date Signed*
MM
DD
YYYY
Digital Signature: CEO/Executive Director*
Please note that the Mildred Faulkner Truman Foundation shares information with other funders. Information regarding any Truman Foundation grant decision concerning your organization may be disclosed in the information exchange process.
Accept Terms*
- Yes, I agree
- No, I do not agree
Before clicking the submit button, please take a few more moments to review your fields and make sure everything is correct. Please do not use any symbols such as: $!,/.% They Will not allow the form to process. Please make sure the documents you upload are 1 page documents. If you feel everything looks correct feel free to continue by clicking submit below. Thank You
Name
This field is for validation purposes and should be left unchanged.

Apply for a Grant

Grant Application

Organization Information