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707 N State St.
North Vernon, IN 47265

 
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Grant ApplicationDue May 31, 2023
Instructions for submission—please read all instructions prior to beginning application.

  • Grant application and materials are available on this page.
  • The complete grant application, with attachments as outlined here, must be submitted by 4:00pm EST on May 31, 2023.
  • The Agency’s Board of Directors must approve the submitted budget. The minutes from the board meeting approving the budget will be requested in the application.
  • The application must be reviewed and electronically signed by the CEO, board president, and treasurer to complete submission.
  • Altered, incomplete or late applications will not be considered. Failure to complete any portion of the application or required spreadsheet, or alteration of the content, wording or budget forms will negate your application for consideration.
  • Resubmissions will be considered only until the due date above

These four (4) attachments will be uploaded in your application.

  1. Required SpreadsheetsUse this provided template (Do not use prior year templates- the budget is for 2024). Complete sheets 1-3. Agencies serving more than Jennings County must also complete sheet 2b. Do not alter the template or type in shaded areas.
    • Sheet 1—Agency Financials, Budget & Program Proposal These financials are to include complete agency financials and should reconcile with IRS form 990. An Agency serving a wider region must also complete sheet 2b.
    • Sheet 2—Assets & Liabilities Worksheet This information should correlate with IRS Form 990. * Note- Agencies who’s 990 reflects more than Jennings County must complete both columns.
    • Sheet 3—Board of Directors Board Member Name, email, Cell or "BEST #", Address, City, State, Zip, term began and term ends. Board Meetings date, time and place.
  2. Most current filed IRS Form 990, 990-N- or a letter of explanation stating why a 990 was not filed. Letters of explanation must be approved by the agency board of directors at a board meeting, recorded in the minutes and signed by the president of the board of directors.
  3. Most recent financial audit- an agency with a total budget of less than $50,000 may provide a report of financial status prepared by an outside accountant. A “Request for a waiver of audit”, as provided in the Agency Handbook, must be submitted in writing prior to the application’s due date. Such a request must state the reasons for the request and be approved at a board meeting, recorded in the minutes and signed by the president of the board of directors.
  4. Minutes- from the board meeting when the budget within the application was approved.

Electronic signatures—The submitted application will be sent for the CEO, Board President and Treasurer (to the email addresses provided in the application) for review and signatures via Adobe Sign after applications close.

Completing the form- Required fields are marked with a red asterisk (*) and must be completed before the form will submit. We suggest that you compose your responses in a seperate document, gather your attachments and then copy and paste your responses into the form and attach your files. The "Save and finish later" button- Clicking this button will save your application as a draft. Click "get shareable link" and save the link to access your work later.

Virtual Office Hours appointments available for application assistance

 

 

Quick Links

Application FAQs

Agency Handbook

Required Template
(Do not use prior year templates- the budget is for 2024)

Grant Application

Virtual Office Hours
—schedule an appt for a virtual meeting to get help

Electronic signatures—The submitted application will be sent for the CEO, Board President and Treasurer (to the email addresses provided in the application) for review and signatures via Adobe Sign after applications close.

 

 

         
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