GSAFE Resource Materials 1
Guilford Green Foundation
2005 Grant Application
Please complete this Grant Application in accordance with Attachment A, Guidelines. Submit completed Grant Application and attachments to: Gifting Committee, Guilford Green Foundation, PO Box 10428, Greensboro, NC 27404-0428.
Completed Grant Application must be postmarked no later than June 30, 2005.
I. GENERAL INFORMATION
Name of Organization or Institution (referred to hereinafter as “Grant seeker”):
Gay Straight Advocates for Education, Inc. (GSAFE)
Address: PO Box 41044, Greensboro, NC 27404
Website: www.gsafe.org
Contact information for Grant seeker: Gary Palmer
Contact’s Name and Title: Gary Palmer, Chair.
Telephone: 271-8428 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:
Lesbian
Gay
Bisexual
Transgendered
The LGBT Community
under age 21
between ages 21 and 65
over age 65
Racial Minorities
Ethnic Minorities
with Serious Health Conditions
Disabled
B. Please describe, in a few sentences, the individuals or communities you serve.
Our primary service is to anyone involved in K-12 education. This includes all students, faculty, staff and administration, regardless of their sexual orientation, health, gender, gender expression, race, ethnic origin, age, or disability.
III. GRANT SEEKER’S OPERATIONS
A. Grant seeker’s General Purpose (please check all that apply):
□ Arts and Culture □ Human Services
Education □ Faith/Religious
□ Health □ Other (please describe below) GSAFE Resource Materials 2
B. What is Grantseeker’s organizational or institutional mission?
GSAFE strives to assure that each member of every school community is valued and respected regardless of sexual orientation or gender identity/expression. We believe that such an atmosphere engenders a positive sense of self, which is the basis of educational achievement and personal growth. Since homophobia and heterosexism undermine a healthy school climate, we work to educate teachers, students and the public at large about the damaging effects these forces have on youth and adults alike. We recognize that forces such as racism and sexism have similarly adverse impacts on communities and we support schools in seeking to redress all such inequities. GSAFE seeks to develop school climates where difference is valued for the positive contribution it makes in creating a more vibrant and diverse community. We welcome as members any and all individuals, regardless of sexual orientation, gender identity/expression or occupation, who are committed to seeing this philosophy realized in K-12 schools.
C. What are the start and end dates of Grantseeker’s current fiscal year?
July 1, 2005 – June 30, 2006
D. What is Grantseeker’s total annual budget for the current fiscal year? $0
E. What was Grantseeker’s total annual budget for the prior fiscal year? $0
F. If budgeted, what is Grantseeker’s total annual budget for the coming fiscal year? $5,105
G. What percentage of Grantseeker’s budget is raised from Grantseeker’s own fundraising efforts? 40%
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?
Purchase of books, videos, workbooks and other media resources concerning GLBT issues. These are for use in donating to school libraries, GSa’s and for use in the GLSEN Resource Library.
B. 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?
$2,000
C. What is the total budget for the particular initiative, project or activity described in (IV.A) above? $2,000
D. Have other funds been raised or allocated toward meeting the budget identified in (IV.C) above?
□ Yes No
If yes, how much has been raised or allocated as of the date of this Grant Application?
E. 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. GSAFE Resource Materials 3
Funds from membership and other donations will be used.
F. What are the start and ending dates for the particular initiative, project or activity described in (IV.A) above?
It would begin on the date the grant award is made and end one year from that date.
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.
Funds would be used to purchase resource materials including fictional and non-fictional books dealing with GLBT themes. Items would be donated to media centers in Guilford County Schools, GSA’s and/or the GLSEN Resource Library.
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.
GLSEN Greensboro is an all volunteer organization with no paid staff. We would focus on putting fictional books portraying positive images of GLBT individuals and resource books in schools in Guilford County. Annette Green is our librarian and handles cataloging and checkout of resources in our GLSEN Resource Library.
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?
One of the major needs of young GLBT individuals has been to see positive portrayals of themselves in media, including books, movies, etc. Most schools have few, if any books that give a positive portrayal of GLBT individuals. Having positive portrayals in our schools allows students to understand that they are recognized and can be appreciated in our culture. It makes them less invisible and less isolated. A GSA student told an incident to us about a friend of hers who went into her library and was pleased and surprised to find a book with GLBT characters. This would have been one of the few positive portrayals she had encountered.
D. What tools or measures will you apply to evaluate the success or failure of a Guilford Green Foundation grant?
Having GLBT positive books on the shelves in school libraries will be a success. Availability of items in our GSAFE Resource Library will constitute success.
VI. OTHER INFORMATION
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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?
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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 Guilford County;
• Grantseeker agrees to use any grant funds received from the Guilford Green Foundation within Guilford County or for the benefit of residents of Guilford County;
• 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, in a timely fashion, with a six month progress report, as well as a final evaluation, if appropriate, of its activity; 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 timely progress 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) ________________________________________, 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
__________________________________________________________________________________
Type or Print Name Title or Authority of Signer
Applications must be postmarked no later than June 30, 2005.
Submit completed Grant Application and attachments to:
Gifting Committee, Guilford Green Foundation, PO Box 10428, Greensboro, NC 27404-0428 GSAFE Resource Materials 6
