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Guilford Green Foundation
2007 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, 330 South Greene Street, Greensboro, NC 27401.
Completed Grant Application must be postmarked no later than July 27, 2007.
I. GENERAL INFORMATION
Name of Organization or Institution (referred to hereinafter as “Grant seeker”):
GSAFE – Gay Straight Advocates for Education
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
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B. Please describe, in a few sentences, the individuals or communities you serve.
We serve the students, staff and faculty of public and private schools, primarily in Guilford County. We work with all levels of education from kindergarten through college.
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)
B. What is Grantseeker’s organizational or institutional mission?
The purpose of the Gay Straight Advocates for Education, Inc. includes but is not limited to: (a) 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; (b) providing resources which address the educational, emotional, psychological, and spiritual needs and wants of gay, lesbian, bisexual, transgender youth and their allies; and (c) 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 01, 2006 through June 30, 2007 (06-07)
D. What is Grantseeker’s total annual budget for the current fiscal year?
(06-07) $8,960
What was Grantseeker’s total annual budget for the prior fiscal year?
(August 26, 2005-June 30, 2006) $7,105.00
E. If budgeted, what is Grantseeker’s total annual budget for the coming fiscal year?
(July 01, 2007 through June 30, 2008) $7,428.07
F. What percentage of Grantseeker’s budget is raised from Grantseeker’s own fundraising efforts? (Predicted for 07-08) 39%
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?
PFLAG has a national conference in McLean, VA in October of 2007. We have 10 board members scheduled to attend the Education Track at the conference. PFLAG has developed an excellent program for training and service to schools. GLSEN no longer holds a national conference. Attendance at the PFLAG conference education track will provide the education we previously received through GLSEN.
In addition, Thursday the 11th is a Lobby Day. Five our board members will be present to talk to our NC Senators and Representatives about GLBT issues. 3
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?
$3,500
C. What is the total budget for the particular initiative, project or activity described in (IV.A) above?
$6,414.47
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?
Attendees are responsible for their own food and transportation. This is estimated to be a total cost of $1,796.40. In addition, GSAFE has allocated $1,118.07 from their funds. Total raised or allocated is $2,914.47.
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.
PFLAG does not have a conference every year.
F. What are the start and ending dates for the particular initiative, project or activity described in (IV.A) above?
October 11-14, 2007
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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.
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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.
Room reservations are made with the hosting hotel. Conference fees are paid directly to PFLAG. We are carpooling as much as possible. Ten of our board members are attending the conference.
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?
Attendance at a national conference would help board members affirm their commitment to the work of GSAFE. It is important for them to see that they are part of a national movement to make schools safe for all GLBT individuals. The education track will also provide the opportunity to see workshop presentations that are different than the ones currently provided by GSAFE. It will help refresh our training techniques.
D. What tools or measures will you apply to evaluate the success or failure of a Guilford Green Foundation grant?
Success will be determined by the sense of excitement and commitment by the board members attending. In addition, utilizing newly learned training techniques from the conference will indicate success.
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?
We are pleased with the progress GSAFE has made since its beginning in August of 2005. We now have 19 people on our board representing a very diverse population including African American, Jewish, transgender, straight, gay, male, female and high school youth. We plan on adding a college student this fall when students return from the summer break.
We are working closely with the Diversity Officer for Guilford County Schools. One of the projects we have with them is “In This Classroom”. It is a sign GSAFE made and have been getting students to have teachers post in their classrooms. We thought we would need to get a GGF grant to make enough of them. However, with our work through the schools they have decide to print and produce them so every classroom in Guilford County Schools will have access to them. They are printing and laminating 4,300 signs so every classroom, including elementary school classrooms can have one. (See attached)
We are also extending our “Student Network” to include working with college students. We have initiated a new E-letter for GLBT Education information. We are in the process of setting up an alternate e-letter for middle school, high school and college students. Our hopes are to help provide communication between college students and provide communication between high school students. We believe it will be helpful for each group to know what other groups are doing.
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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Sample of our GSAFE Education E-letter. Stories are hyperlinked to their sources.
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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 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 a year end accounting of the funds use for their granted purpose; 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) ________________________________________, 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 July 27, 2007.
Submit completed Grant Application and attachments to:
Gifting Committee, Guilford Green Foundation, 330 South Greene Street, Greensboro, NC 27401 9
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