GRANT APPLICATION

Date:

Name of Organization:
Name of Program:
Address:
Contact Person/Title:
Telephone:	Fax:	Email:
Private Support Budgeted for the program in FY $	Private Support Received YTD for the program $	ACC Grant Request $

NARRATIVE (Please limit to this page and no more than two additional pages)

1.	Please give a brief description of your program (background, mission and purpose).
2.	What geographic area does the program serve?
3.	How many children or families does the program serve annually?
4.	Please provide some evidence of the community need for your services?
5.	How will your program address the community need? What will it accomplish for children and families?
6.	Please provide a timeline for your project.
7.	Specifically, how will ACC funds be used?

Please enclose your program budget and a report on your last grant, using the form provided. Applicants will be notified of board decisions within eight weeks of the application deadline. Please submit twelve copies.

100 23rd Ave S, Seattle, WA 98144 I (206) 328-5973 I acc@ccsww.org I www.advocacyandcaringforchildren.org

ACC/Grant Documents/Masterfunding Documents/grantapplication Revised 8/30/18