Community Enhancement Grant

Application Process

#### Section 1 - Contact Information (Required)
1. Organization name (must match IRS Form 990)
2. Organization address and mailing address
3. Phone and email contact information
4. Website
5. IRS Tax ID Number (numbers only, no dashes)
6. Year organization founded
7. Contact name and phone
8. Identify if organization uses another organization for fiscal management/administration
9. If yes, provide fiscal agent contact information (name, phone)
10. Specify where grant awards should be mailed (organization or fiscal agent)

#### Section 2 - Program/Service Title, Grant Amount Requested (Required)
1. Program title(s)
2. Total grant amount requested
3. Specify how much of budget RCUW will provide
4. Calculate percentage of funds requested relative to total operating budget
5. Specify when funds are needed
6. Describe what purchases/distributions will be made and when
7. Disclose if received RCUW funding in past (amount and program)
8. Sign counterterrorism certification agreement affirming:
- Compliance with USA PATRIOT ACT and counterterrorism laws
- Active and responsible governing body with no material conflicts of interest
- Organization chartered or incorporated in State of Tennessee
- Information provided is true and accurate and shared with entire Board
9. Organization Executive signature, printed name
10. Organization Board Chair signature, printed name
11. Date

#### Section 3 - Description/Funds Request Details (Required)
1. Organization's description including:
- History
- Mission
- Past accomplishments
2. Select targeted focus area:
- Health
- Education
- Income/Financial Stability
3. Select service gap provided (choose from list or describe other):
- In-home programs for youth (mentoring, reading, parenting education)
- Education and training programs for unemployed
- Transportation for seniors 65+ or disabled
- Financial services and budgeting education
- Substance abuse education
- Education - Other (describe in detail)
- Financial Stability - Other (describe in detail)
- Health - Other (describe in detail)
4. Describe intended use of grant funds including:
- Specific outcome(s) projected
- Rationale for specific amount requested
- How request meets community need in service gap/focus area
- How grant represents one-time request to start new service or enhance existing service per Community Enhancement Grant Criteria
5. Identify if there are other participating organizations
6. If yes, provide names of participating organizations
7. If yes, provide funding amounts from other organizations for this project

#### Section 4 - Additional Information
1. Provide any additional comments important for Community Enhancement Committee

#### Required Supporting Documents
Submit via email to Community Impact Coordinator after submitting online form:
1. Email confirmation that application was submitted via website
2. Current IRS Determination Letter (501(c)(3) status)
3. Current registration or exemption letter from State of Tennessee, Division of Charitable Solicitations

#### Submission Instructions
1. Review Community Enhancement Grant Criteria before applying
2. Complete online application form
3. Download and use Final Report for future reference
4. Submit form via website
5. Email supporting documentation to Community Impact Coordinator