IHS Grant Fund Application 2007

The application form itself which appears below and then a checklist. Please fill out each field in the form and check each box ( by clicking it) that applies to your group. Your application will not be submitted until we get all of the information that we need from you. Items that are italicized are not required but please include them if they are applicable to your group.

When you complete the process and hit the SUBMIT button, you will receive a feedback page showing the data that was transmitted to the IHS Grant Fund mailbox. If you feel some of this data to be in error, please go back, complete the form correctly, and resubmit it. We will use the later copy.

If you prefer, the information requested below can be sent to us in the body of an e-mail OR in a hard copy document mailed to us at

IHS Grant Fund
Institute for Humanist Studies
48 Howard Street
Albany, NY 12207
USA.

Your application must reach our office by 5 P.M. EDT Friday, August 31, 2007. IMPORTANT: Late or incomplete applications will not be considered.

Legal name of organization:

Address1: 
Address2: 

City: 
State/Province: 

Zip/Postal Code: 

Country: 

Phone with area/country code: 
Fax with area/country code: 

E-mail: 
Website: 

Name/Title of contact person:

Name of executive director (if applicable):

Name of president or chairperson of board (if applicable):

Legally registered charity or non-profit? (In the U.S. this would be an IRS 501(c)3. Please note documentation requirement discussed above.)
Yes No

No. board members:
No. employees:
Full-time 
Part-time 
Volunteer 

State your organization's mission (2 sentences):

Please convert all figures to approximate U.S. dollars:
Total annual organizational budget: 

Amount requested for project: 
Amount funded by members: 
Amount funded by other sources: 

Total project budget: 

Time period grant will cover:
From   To 

Name of project: 

Summarize the proposal (4 sentences):

Your name: 
Today's date: 

2. Your Proposal Narrative explaining the projects purpose, activities, and impact (not to exceed 3 pages). See the Proposal Narrative section toward the bottom of the guidelines page for a detailed explanation of narrative requirements.

3. A copy of the government letter confirming your organization's non-profit status (501(c) (3) in the USA)

4. An itemized annual budget for your organization's current fiscal year, with actual figures for the previous fiscal year

5. Your organization's most recent audited financial statement

6. Your organization's latest annual report or summary of prior years activities

7. List of current board members

8. An itemized budget, listing income and expenses, for this specific grant

IMPORTANT: Applications submitted without a Proposal Narrative and other supporting documents will not be considered. Submitting the form below is just one step of the application process. Your application is not complete until all materials have been received by the IHS office.