JCC Foundation Application

The mission of the JCC Foundation is to financially support and promote initiatives that enrich and advance our community. The pillars of focus for the Foundation are to promote culture, education, entrepreneurship, leadership and quality of life in Jackson County.

Date of Grant Application

Format: M/d/yyyy

ORGANIZATION INFORMATION

Organization Name

Address Line 1

Address Line 2

City

Zip/Postal Code

Contact Person

Job Title

Phone Number

How long has your business/organization been in operation?

Number of FULL TIME employees at organization?

PROJECT INFORMATION

Project Name

Anticipated Start Date

Format: M/d/yyyy

Anticipated End Date

Format: M/d/yyyy

Summary of the proposed project

FINANCIAL INFORMATION

Amount requested from Jackson County Foundation (up to $500)

Estimated TOTAL cost of the project

Outline of the complete budget for this particular project showing income and expenses:

Please list other funding sources:

Sustainability: What are the plans for the future of this project? Summarize a specific plan for project sustainability (if applicable):

Please read the following and check: *

I understand my application will be reviewed and scored by the Jackson County Chamber Foundation Board of Directors I have attached letter(s) of support from community members regarding this project, community need, community involvement and sustainability I have attached other relevant information that may enhance my application I understand the project must be completed 12 months after receipt of funds I understand I will be required to submit an impact statement within 12 months of receipt of funds to the Jackson County Chamber Foundation

JCC Foundation Application

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