ENDOW URBANDALE ONLINE APPLICATION

Interested in receiving an Endow Urbandale grant? Fill out the following application form! For any assistance with grant application, please reach out to Steve Lytle at 515-283-8159.

Section #1: Contact Support

Please list your organization's website and any social media platforms.

Section #2: Organization Information

Federal Designation: Is your organization a 501(c)3?

Board Information

Name(s) and mailing addresses (if different from org. address) of the Organization’s Officers and Board of Directors:

Section #3: Grant Information

Section #4: Budget

Provide a basic budget for the project/program: (For projects, provide budget information for the term of the project; for on-going programs, provide budget information for the current fiscal year.)

Expenditures

Salaries and benefits

Administrative expenses

Fundraising expenditures

Amount expended directly on participants

Equipment/furnishings

Capital infrastructure expenditures

Other

Total anticipated expenditures

100% of Budget

Revenues

Government assistance

Other public contributors

Private contributors

Individual donations

Fundraising activities

Other

Total anticipated revenues

100% of Budget

Please email or mail a balance sheet listing the value of all current assets and liabilities as of the most recent month-end or quarter-end preceding the date of this application. Other information/documents may be sent as needed. If you are awarded a grant you will be expected to provide a follow-up report to Endow Urbandale upon completion of the project/program.