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Guilford Green Foundation
2008 Grant Application
Please complete this Grant Application in accordance with Attachment A, Guidelines. Submit 15 copies of the completed Grant Application and attachments to: Gifting Committee, Guilford Green Foundation, 301 South Elm St. Ste. 211 Greensboro, NC 27401
Completed Grant Application must be postmarked no later than July 29, 2008.
I. GENERAL INFORMATION
Name of Organization or Institution (referred to hereinafter as “Grant seeker”):
GSAFE (Gay Straight Advocates for Education)
Address:
P.O. Box 41044
Greensboro, NC 24504
Website:
www.gsafe.org
Contact information for Grant seeker:
Contact’s Name and Title: Gary Palmer, Chair
Telephone: 336-697-3000 ex 2243 Fax: Email: gary.palmer@replacements.com
If incorporated, please provide date of incorporation (month/day/year): August 26, 2005
II. POPULATIONS SERVED
A. Grant seeker serves the following populations (please check all that apply):
Persons who are:
x Lesbian
x Gay
x Bisexual
x Transgendered
x The LGBT Community
x under age 21
x between ages 21 and 65
x over age 65
x Racial Minorities
xEthnic Minorities
□ with Serious Health Conditions
□ Disabled
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B. Please describe, in a few sentences, the individuals or communities you serve.
We serve all who are involved with schools in Guilford County, including: students, teachers, teachers in training (college students), administrators, counselors, parents and other concerned citizens.
III. GRANT SEEKER’S OPERATIONS
A. Grant seeker’s General Purpose (please check all that apply):
□ Arts and Culture □ Human Services
X Education □ Faith/Religious
□ Health □ Other (please describe below)
B. What is Grantseeker’s organizational or institutional mission?
1. Providing for the promotion of a public policy by which schools are alleviated from discrimination and harassment on the basis of sexual orientation and/or gender identity/expression so that all students, faculty, staff and other school community members are made physically and emotionally safe;
2. Providing resources which address the educational, emotional, psychological, and spiritual needs and wants of gay, lesbian, bisexual, transgender youth and their allies; and
3. Providing for the furtherance of the goals of valuing and respecting gay, lesbian, bisexual and transgender persons in educational environments.
C. What are the start and end dates of Grantseeker’s current fiscal year?
July 1 2008– June 30, 2009
D. What is Grantseeker’s total annual budget for the current fiscal year?
$6485 (08-09)
E. What was Grantseeker’s total annual budget for the prior fiscal year?
$7,428.07 (07-08)
F. If budgeted, what is Grantseeker’s total annual budget for the coming fiscal year?
*Our fiscal year begins July 1, 2008. The coming fiscal year for us would be July 1, 2009-June 30, 2010.
G. What percentage of Grantseeker’s budget is raised from Grantseeker’s own fundraising efforts?
23%
IV. GRANT FUNDING SPECIFICS
A. Being as specific as possible, what is the particular initiative, project or activity for which funds are now being requested from the Guilford Green Foundation?
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*GSAFE is writing this grant with several organizations. It is a collaborative effort and GSAFE is serving as the umbrella organization for the project.
We are bringing the Respect for All Project with Academy Award winning documentary filmmaker, Debra Chasnoff to Greensboro for two days of screenings of her Respect for All Project films and workshops. Her videos are among those most used in teaching LGBT issues in education. These videos include It’s Elementary, It’s Still Elementary (just released), That’s a Family, Let’s Get Real and a new video that will be released shortly before her visit.
The date for her visit is Feb 19 and 20, 2009. One of these days is a half teacher work day and the other is a full teacher workday for Guilford County Schools. We are working toward Debra doing a presentation with Guilford County Schools. In addition, all of our collaborating organizations will participate with the screenings. Our confirmed collaborators for the project are:
• GSAFE (Gay-Straight Advocates for Education) (contact: Annette Green and Gary Palmer)
• New Garden Friends School (contact: Pattie Midgett and Judy Pelarin)
• Guilford College Multicultural Education Department (contact: Jorge Zeballos)
• Guilford College Education Studies Department (contact: Anna Oerther)
• PFLAG Greensboro (contact: Linda Stroupe)
• North Carolina A&T State University Multicultural Student Center (contact: Maria Teresa Palmer)
• NCCJ Triad (contact: Susan Feit)
• UNC Greensboro Office of Multicultural Affairs (contact: Jeffrey Coleman)
• UNC Greensboro Women's and Gender Studies Program (contact: Kathy Jamieson)
• UNC Greensboro School of Education, Department of Educational Leadership and Cultural Foundations (contact: Kathe Latham)
Here is the basic schedule we hope to follow:
• Wednesday evening - "That's a Family" at NC A&T State University.
• Thursday morning- "It's Still Elementary" at UNCG, followed by reception at their Multicultural Center
• Thursday afternoon - "Let's Get Real" for Middle School teachers
• Thursday evening - local Premiere screening of "Straightlaced" at Guilford College Dana Auditorium
• Friday morning - teacher development presentation at New Garden Friends School The evening programs will be open to the public. We hope that the Thursday morning program at UNCG will draw education students from several colleges. We still need a location on campus for that program. We also hope to include film making students at some events. We hope Thursday afternoon will be worked out cooperatively with NCCJ and Middle Schools that are involved with the "In the Middle" (an anti bullying program for Middle Schools). Many details still need to be worked out.
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B. How does this initiative, project or activity relate to the overall mission of the Guilford Green Foundation, specifically noting the ways this grant will be used to unite community.
Several organizations are collaborating to bring Debra Chasnoff to Greensboro. Her work on LGBT issues in education has made a huge impact in the United States. It’s Elementary has probably been the most successful LGBT education video ever created. The benefit to the community will be enormous and this is also one of the most collaborative LGBT positive initiatives undertaken.
C. For the particular initiative, project or activity described in (IV.A) above, what is the total dollar amount Grantseeker is requesting from the Guilford Green Foundation?
$4,450
D. What is the total budget for the particular initiative, project or activity described in (IV.A) above?
$6,539
E. Have other funds been raised or allocated toward meeting the budget identified in (IV.C) above?
X Yes □ No
If yes, how much has been raised or allocated as of the date of this Grant Application?
$2,100 in anticipated in-kind donations or discounts.
F. If the particular initiative, project or activity described in (IV.A) above is an ongoing program, please describe plans for continued funding of this program.
This is not a continuing program.
G. What are the start and ending dates for the particular initiative, project or activity described in (IV.A) above?
Feb 19 and 20, 2009
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V. GRANT RECEIPT SPECIFICS
A. If Grantseeker were to receive a Guilford Green Foundation grant for the particular initiative, project or activity described in (IV.A) above, how exactly would those funds be allocated and used? Please be as specific as possible.
Cost
Item
Anticipated In-kind donation or savings
Note
$ 1,000
A very low fee compared to other speakers.
$ 450
Hotel – O’Henry or Proximity
$100
We hope to get a better rate from O’Henry or Proximity. This price includes taxes which are usually around 14% of room cost. We anticipate perhaps a $100 discount for the 2 nights and have listed it as an anticipated in-kind donation.
$ 1,000
Air Fare
Could change.
We can only guess what it will be by then. Air fares no longer cover luggage and who knows what else.
$ 500
Tech for screening
Labor costs for a technician for the screenings.
$ 200
Security
Security/labor costs
$ 885
Equipment
We hope to have most of this provided by the auditoriums.
$500
Estimate for equipment for movie screening for approximately 300 people:
LCD projector- (5000 lumens- bright enough for a large auditorium) $450/day
10 1/2 x 14 screen- $250/day
sound system- $185/day
$ 1000
Auditorium Rentals
We hope to have the auditoriums provided by the sponsoring groups.
$500
We need auditoriums at Guilford, UNCG and A&T.
$ 500
Food & drinks
$500
With numerous presentations we should probably plan on providing a reception or food and drinks at events.
$ 1,000
Publicity/Advertising
$500
We can easily spend this much on newspaper. Advertising also encourages them to do some free articles as well. In addition all of the participating organizations will be doing promotion and marketing as in-kind donations.
$6,539
Total
$2100
Grant Request $4,450.
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B. If Grantseeker were to receive a Guilford Green Foundation grant for the particular initiative, project or activity described in (IV.A) above, please describe the method of implementation, whether staffing will be involved, and the number and type of volunteers, if any, who will support implementation.
This is a collaborative effort that has already involved many people from different organizations. We will have to pay some personnel for security and technical assistance. There is a great deal of preplanning for this event including exploring where she can be most effective (such as trying to get her into Guilford County Schools). We cannot anticipate the total number of volunteers needed. So far there have been about 15 people involved in the planning.
C. If Grantseeker were to receive a Guilford Green Foundation grant for the particular initiative, project or activity described in (IV.A) above, what outcome is envisioned? What accomplishments or changes may result?
The Respect for All Project offers knowledge about a comprehensive set of resources for educators and youth-service providers, including award-winning documentary films, high-quality curriculum guides and a comprehensive workshop series for professionals and community members. We would see educators learning the issues and learning how to utilize these tools in their classrooms.
D. If Grantseeker were to receive a Guilford Green Foundation grant for the particular initiative, project or activity described in (IV.A) above, What tools or measures will you apply to evaluate the success or failure of this particular Guilford Green Foundation grant?
Attendance by appropriate educators will be an evaluation tool. We will be very successful if we get individuals from many of schools, colleges and universities.
E. If Grantseeker were to receive a Guilford Green Foundation grant for the particular initiative, project or activity described in (IV.A) above, what date will you provide the required Grant Allocation Report (please note Grant Evaluation Report are due either 90 days after completion of the program/project or one year after the date of the grant request (whichever comes first):
90 days after the project’s completion
VI. OTHER INFORMATION
A. Is there anything not already covered in this Grant Application you would like the Guilford Green Foundation to know about your organization or institution?
B. Assuming money were no object, what unmet needs in our community would your organization or institution like to see addressed?
A paid position to work with LGBT youth and LGBT education issues. 7
VII. TERMS AND CONDITIONS
As a condition to being considered for any grant the Guilford Green Foundation, in its sole discretion, elects to make to Grantseeker, Grantseeker agrees as follows:
• Grantseeker is a non-profit organization exempt from federal income taxation under Section 501(c)(3) of the Internal Revenue Code;
• Grantseeker attests that a majority of its membership and/or the population it serves reside in the North Carolina Triad area (including Alamance, Davidson, Guilford, Randolph or Rockingham counties);
• Grantseeker agrees to use any grant funds received from the Guilford Green Foundation within Triad or for the benefit of residents of Alamance, Davidson, Guilford, Randolph or Rockingham counties;
• Grantseeker agrees, as a condition to accepting any funds from the Guilford Green Foundation, that the Guilford Green Foundation may, in its sole discretion, make public the fact that its organization or institution is a grant recipient, the activities or purposes for which such grant is made, and the amount and manner in which any such funds would be used;
• Grantseeker authorizes any publicity or documentation that demonstrates a granter-grantee relationship, should your organization or institution accept funds from the Guilford Green Foundation;
• Grantseeker agrees, as a condition to accepting any funds from the Guilford Green Foundation, that any funds granted by the Guilford Green Foundation be used solely and exclusively for the purpose, and within the time period, requested in this Grant Application, and that any differing use(s), or any use(s) within any differing time period(s), be pre-approved, in writing, by a vote of the Guilford Green Foundation Board of Directors;
• Grantseeker agrees to provide the Guilford Green Foundation with an accounting of the funds use for their granted purpose via a Grant Evaluation Report due either 90 days after completion of the program/project or one year after the date of the grant request (whichever comes first); and
• Grantseeker agrees, as a condition to accepting any funds from the Guilford Green Foundation, to promptly repay to the Guilford Green Foundation the grant monies received in the event (i) your organization or institution makes any unauthorized use(s), or any use(s) within any differing time period(s), that materially differ from the use(s), and/or time period(s), provided for in the Grant Application, (ii) that you fail to make a year end accounting report, or (iii) that this Grant Application contains any material misstatement or omission.
I hereby certify that I am authorized to sign this Grant Application on behalf of (please insert Grantseeker’s name) GSAFE, that I have fully read this Grant Application and Attachment A, that I understand and agree with its terms and conditions, and that, to the best of my knowledge, this Grant Application is true, correct, and complete.
__________________________________________________________________________________
Signature Date
Gary Palmer GSAFE Chair
Type or Print Name Title or Authority of Signer
Applications must be postmarked no later than July 29, 2008
Submit 15 copies of completed Grant Application and attachments to:
Gifting Committee, Guilford Green Foundation, 301 South Elm St. Ste. 211 Greensboro, NC 27401 8
GSAFE 2008-2009 Budget
2008-2009 Projected Budget
Notes
REVENUE
GGF fall grants
$ 4,450.00
Debra Chasnoff Program
Major Donors ($500 or over)
$ 1,000.00
Membership fees
$ 500.00
Revenue Total
$ 5,950.00
EXPENSES
Professional fees (Guilford Non-Profit Consortium)
$ 35.00
Public Meeting Expenses
$ 350.00
Plaques, Trophies
$ 100.00
YouthSafe Program
$ 500.00
Debra Chasnoff Program
$ 4,450.00
Constant Contact eletter hosting
$ 300.00
Website Hosting
$ 250.00
Office Supplies and Training Materials
$ 500.00
Expenses Total
$ 6,485.00
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