Apply Online "*" indicates required fields Date of Application* Month Day Year Grant Request*Organization InformationLegal Name of Organization*Doing Business Asif different from legal nameAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone Number*Fax NumberWebsite EIN #*Is Organization an IRS 501(c)(3)?* Yes No Who is the Fiscal Agent?*Organization Mission Statement*Briefly State Organization's Programs and Accomplishments.*Number of Full-Time Staff*Number of Part-Time Staff*Number of Volunteers*Fiscal Year Begins Month Day Year Fiscal Year Ends Month Day Year Total Annual Organizational Budget for Current Fiscal YearExecutive Director InformationName First Last PhoneEmail Is the Executive Director the Primary Contact for This Grant Application?* Yes No Contact Person InformationName* First Last Title*Phone*Email* Board President InformationName* First Last Phone*Email* Grant Request InformationType of Request* Capital Campaign Project Support (includes Programming) General Operating Support Other Type of Project New Project Existing Project Expansion of Existing Project Please Explain*Project/Campaign InformationName of Project of CampaignCurrent Expense BudgetList Major Confirmed Sources of Funding*Purpose of Grant or Proposal Summary*100 words or lessWool Foundation Objectives Your Project/Campaign Will Address* Individual and/or family development and well-being Community improvement Education Mental/physical health, disease research Arts and culture Age of the Audience Who Will Benefit from Your Project/Campaign*select all that apply Children 0-12 years Youth 13-25 years Adults Older adults 55+ years Demographics of the Participants and/or Beneficiaries*select all that apply Female Male New St. Louis Residents Urban Residents Rural Residents Pre-School Students Elementary Students Junior/High School Students Post-Secondary Students Members/Volunteers Other Please Explain*Identify any of the following characteristics that may apply to the recipients and/or beneficiaries.*select all that apply Living in poverty Single parents Unemployed/Underemployed Gang-related/justice system involved Physical disabilities Cognitive intellectual disabilities LGBTTQA Homeless/Sub-standard housing Mental illness Chronic health condition Vulnerable/At-risk Isolated socially/geographically Other Please Explain*Which of the following focus areas will be included in the project?*select all that apply Employment skills/preparation Nutrition/food security Academic achievement/support Arts and culture, theatre, music Sport and recreation Social inclusion and social supports Health and wellness Crime reduction Reducing discrimination/racism Personal choices/coping skills Housing supports Public awareness/education Research/evaluation Aging independence Transportation supports Other Please Explain*At what level will the project or event primarily occur?* Individual Family Community How often will recipients take part in the project?* One-time event Daily Weekly Monthly Other Please Explain*Estimate the number of people that will benefit from the project.*How will you measure and evaluate the overall success of your project? How will you evaluate the results experienced by participants?*Describe the expected outcomes, benefits, or results participants will gain from their involvement in the project.*Recognition of The Harlene and Marvin Wool Foundation*Are naming opportunities available? Yes No Budget InformationTotal project budget*Project Start Date* Month Day Year Project End Date* Month Day Year Funding Period Start Date* Month Day Year Funding Period End Date* Month Day Year AttachmentsPlease attach your Board of Directors list with their affiliations.* Max. file size: 50 MB.Please attach your organizations annual budget.* Max. file size: 50 MB.Please attach organization's most recent annual report, if available. Max. file size: 50 MB.Please attach organizations financial statements.* audited/reviewed/completed financial statements for the last fiscal year OR the most recent Form 990 Max. file size: 50 MB.Application DeclarationPlease read and consent to the application declaration agreement by checking the box and providing your name, position and date as an electronic signature.Application Confirmation*I have carefully read and understand the eligibility criteria for this program as described in the application guidelines, and I confirm that the organization I represent meets these criteria. I accept the conditions of this program and agree to accept the Wool Foundation Board’s decision. I confirm that to the best of my knowledge the statements in this application complete and accurate. If a grant is awarded to this organization, the proceeds of that grant will not be distributed or used to benefit any organization or individual supporting or engaged in unlawful activities. I agree that the organization I represent will return a portion or all the funding if the project is not carried out as described in the application. I agree*Name of Authorized Representative*Position*Date* Month Day Year
