Applicants are requested to submit a complete proposal on the grant application form. A copy of each of the documents specified in Part V is required. COMPLETION OF THIS FORM WILL FACILITATE OUR REVIEW. Applicants are encouraged to call or write the Foundation with questions about any of the application requirements.

In order to complete your application, click "Next" button at the bottom of the page and on the resulting page, click "Print Page" to print a copy of the page. You must sign and date the bottom.  Below is a checklist of supplement information that MUST be included in order for us to process your application. Send this form and supplemental information to:

The South Dakota Community Foundation
207 East Capitol, PO Box 296
Pierre, SD 57501

• Cover letter from Board Chair or CEO authorizing the proposal and stating its priority among the organization's
  initiatives.


• Names and Affiliations of your Executive Administrative Staff and Board of Directors.


• Names and qualifications of staff (existing or new) who will be responsible for this project.


• The applicant organization’s Articles of Incorporation and most recent By-laws.

When filling in your information, you are limited to 2000 characters. The return KEY has been disabled for the printing
process.
If you need more space, please attach a seperate document at the end of your application with the supplemental
information .

PART I: IDENTIFYING INFORMATION

Part I shall provide organizationl data as follows:

Name of Organization

Street Address

City

State

Zip Code

Contact Person/Title

Phone

Wht is the amount of grant monies requested from SDCF?
$

What is the total goal of you fund raising effort?
$

Over What period of time?


Briefly describe your non-profit organization

PART II: PROJECT DESCRIPTION

Please include a clear description of the project, need for the project, community support for the project, and project continuation plans. The application shall explain how the project relates to the overall mission of the sponsoring organization. Please use the spaces provided on the application form whenever possible.

Description of the Project

Need For the Project

Describe the Community Support for the Project

Project Continuation Plans: Describe the expected results and the probability of continued support. Please indicate whether such support is projected from grants, donations, contracts or fees.

Does this project involve affiliation or collaboration with other agencies or organizations?

Yes

No

If yes, list names of those agencies or organizations and attach any letters of agreement or support which may be
appropriate:

PART III: BUDGET

Please include detailed project budget information. The budget must indicate how the South Dakota Community Foundation funds will be spent and over what period of time.

Fiscal Period:

From

To

Project Costs:	TOTAL	YOUR FUNDS	SDCF FUNDS
Administrative (Include salaries benefits, other personnel expenses):	$	$	$
Operational (Supplies, equipment daily expenses items):	$	$	$
Promotional (Fund raising, advertising,marketing expenses):	$	$	$
Other Costs:	$	$	$
TOTALS:	$	$	$

Have you submitted a proposal for these funds to any other granting source?
Yes
      Approved - Amount $
      Denied
      Not yet determined

No: Please Explain

A list of major donor commitments to this particular project:

PART IV: EVALUATION

Please detail the procedures by which the project will be evaluated including the name of the individual who will be
making the final evaluation. A final letter of evaluation shall be sent to the South Dakota Community Foundation as
soon as the project is completed.

PART V: ADDITIONAL INFORMATION

Please include any pending circumstances which could affect the future operation of your organization such as audits,
Board of Directors' support, staffing, by-laws and reporting requirements for charitable organizations. This section
requires supplementary attachments.

Have you had any pending or recent lawsuits challenging the propriety of your disbursements
and/or the actions of your staff, volunteers or board members?

    Yes      No

Have you had any pending or recent publicity viewed as adverse or critical?

    Yes: Please Explain

  No 

Do you have an annual CPA Audit?

    Yes    Date of Last Audit   

   No

If you do not have an annual audit, please furnish a letter of expanation.

I acknowledge that all the information in this grant application is true and correct to the best of my knowledge. I
agree to comply with the Final Evaluation Report as required in Part IV. I also certify that the funds applied for
will benefit charity or a non-profit purpose.

Signature and Title

Date