1 Create a ZoomGrants™ account (below) or log in to your existing account (above) 2 Select a Program to apply for, then click the Apply button to get started 3 Answer the questions and/or fill in the fields in each tab 4 If necessary, upload any requested documents 5 Submit your application and wait for a decision 6 If you are selected to receive funding, you might be required to submit invoices or reports through your application
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By entering your initials here you certify this submission truthfully and accurately represents your application and is hereby submitted for review. Submission of this application does not, in any way, guarantee that your application will yield a favorable result.
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1. Agency website Please provide the URL for your agency website
2. Which of these categories best describes this program?
3. Are you a faith-based organization? A faith-based agency is defined as a religious organization providing social services, but cannot use funds for worship, religious instruction, or proselytization.
4. Total Program Budget for FY 2019-2020
5. Grant contact name and title To contact regarding the administration of this grant.
6. Grant contact address Street, City, State, ZIP
7. Grant contact phone number
8. Grant contact email address
9. Is this a Collaborative Partner Grant Application?
(answers are saved automatically when you move to another field)
1. Primary Program Physical Address
2. How many years has this program been in existence?
3. Program Description Provide a description of the program including general purpose.
4. Identify the program's target population(s) and target areas. Provide a brief description of the target area of the program using boundaries and/or ZIP codes. Explain the issue or needs addressed and any changes or trends you have observed in recent years; please include data to support your claim. The application guidelines outline Key Focus Areas under the General Fund Priority Population Criteria.
5. Describe the goals of the program.
6. List your program objectives.
7. How do the proposed services accomplish the goals of your organization?
8. Explain the program activities.
9. Detail the timeline for the implementation of your program.
10. Please list all full-time and part-time employees assigned to this program. Include names, titles and amount of allocated Chandler funds. If the position is vacant, list the position title and projected amount to be allocated.
11. If funds are not utilized for salaries, how will Chandler funds be used?
12. If the City of Chandler is unable to fund your program at the full request, what is the minimum amount of funding you will accept to provide program services?
13. Please explain the minimum amount of funding you will accept to provide program services in the answer above.
14. Please answer the following figures related to the use of volunteers in your program.
15. Describe how volunteers are used in your program. What roles do they play and what positions do they fill? How do you determine the value of your volunteers?
16. Explain why the organization is approaching the issue/need in this way. Highlight best practices or innovations, short-term, and/or long-term benefits to the participants and/or the community.
17. Quality Assurance: The City of Chandler values high quality programs that benefit the lives of our residents. Identify and describe the industry standards, best practices, or regulatory (national, state, federal) guidelines the agency utilizes to measure the quality of the unit of service you are providing.
18. How do you ensure client safety? Do you require training or certification? For example, do vehicle drivers have to obtain a specific driver’s license? Does any employee working with food have a Food Handler’s Card from Maricopa County?
19. Specify the eligibility criteria, if any, for Chandler residents to receive your services. Please also list any documents required from clients for eligibility purposes.
20. Outreach: Please describe how you recruit your clients.
21. Which other agencies in the City of Chandler or adjacent communities provide similar services and how are you cooperating with them? Tip: The response to this question should help clarify how the proposed program leverages existing partnerships and resources, while avoiding duplication of services and meeting a unique need.
22. Describe collaborative efforts with other nonprofit or for-profit organizations, and/or governmental agencies that play a specific role in this program. Provide a letter documenting partnership or other signed agreement (Documents tab). Tip: Rather than a long list of partners, this response should identify key partners that support the program and provide detail about specific tasks, program activities, or resources made available through the partnership.
23. Please describe how your request differs from or builds on the collaborative efforts described in the previous question, including expanding and gaining access to resources?
24. Do you actively participate in a City coordinated project, program, or special event? For example, For Our City, Early Literacy Task Force, Volunteer Income Tax Assistance (VITA), Neighborhood Programs, Therapeutic Recreation, etc.
25. Please list the City coordinated projects, programs, or special events you participate in. Describe your agency’s participation, contribution, and involvement in the project, program, or special event. If none, enter "None." Did the agency have a leadership or supportive role? Please explain. (Up to 5 bonus points will be added to the overall score.)
26. Program contact name and title To contact regarding the administration of the program
27. Program contact address Street, City, State, ZIP
28. Program contact phone number
29. Program contact email
30. Enter the number of un-duplicated clients you anticipate to be served by the program. Note: you may safely ignore the automatic total for this question
31. Propose a unit of service. The City will use this as a measure of your performance. Examples include: client contact, shelter night, hour of therapy or case management, home repaired, parcel of food, bundle of clothing, referral to services. Please consult with City staff if you are not certain what to propose.
32. Enter the number of units of service to be served by the program. Tip: un-duplicated clients and units of service do not need to match (and most often will not). Clients may benefit from more than one unit of service.
Tables
(answers are saved automatically when you move to another field)
Please complete each table following the individual instructions. Large answer text boxes may be resized by clicking on the "dog ear" in the lower right hand corner of the text box and dragging with your mouse.
Additional Application Questions Please answer the following questions. These questions must be answered for your application to be considered complete. Only new agencies must complete the questions in the section New Agency Overview This section helps to provide a greater overview of your agency’s history and current status. Your response should help build a context for your agency’s capacity to administer grant funding. It also helps provide additional context for the program that is being discussed in the application and the program request. The agency budget gives information about the size/scope of the agency, the diversity of revenue sources, and agency expenses. Providing additional information on fund raising activities and the status or other requests for funding, supports the capacity of the organization to administer programs. Text boxes may be re-sized in most browsers. ZoomGrants recommends using Chrome. Please be aware of the character limits.
Enter revenue as positive and expenses as negative. Total must equal zero. Columns with an R are for revenue only, please do not complete for expenses. Columns marked with an asterisk are for new agencies only.
Enter revenue as positive and expenses as negative. Total must equal zero. Columns with an R are for revenue only, please do not complete for expenses. Columns marked with an asterisk are for new agencies only.
Pre-Application Doc: Agency Organizational Chart that shows how the program fits into the organizations.
Required
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Pre-Application Doc: Current Board Roster
Required
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Pre-Application Doc: Most Recent Financial Statements (audited if applicable).
Required
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Pre-Application Doc: Most recent Audit Management Letters (if applicable).
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Pre-Application Doc: Letter(s) documenting partnership(s), memorandum of understanding or other signed agreement with identified collaborating agencies that play a specific role in proposed program.
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Pre-Application Doc: Chandler Service Area Map
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Pre-Application Doc: Marketing/outreach: Please provide a copy of an agency brochure or flier (limit 4 pages).
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Pre-Application Doc: Please provide us with a testimonial or statement from a client on how this program has impacted their lives (limit 2 pages).
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Pre-Application Doc: Agency Written Response (if applicable)
