Application for Grant Funding

The Ann Sherry Foundation

Name of Individual or Organization _______________________________

Date of Application ______________________                 

Contact Person  _________________________                  

Address _______________________________

______________________________________

______________________________________

Phone Number __________________________

E-mail address___________________________

Project Summary ______________________________________________________

____________________________________________________________________

____________________________________________________________________

  On a separate page please respond to the following questions:

  1. Please state the need or problem to be addressed.

  2. Please identify the target population, geographic area, and the number of individuals who will be served by the project.
  3. How will your project address the problem?
  4. If the program is new, how long will it operate?  If it is ongoing, how long has it operated?
  5. Please provide a budget for the project, showing all of the costs anticipated to be incurred and all sources of revenue for the project.  
  6. What funds are requested from the Foundation and for what period of time?  If the Foundation's portion of the total is small, explain how the Foundation's funds are critical to the success of the project.
  7. Please describe any other projects that you operate and your credentials.
  8. How will the project be assessed to determine its effectiveness?
  9. Are you seeking any support from the Foundation other than funds?

Submit to:

The Ann Sherry Foundation

2587 Sawbury Blvd.

Columbus, OH 43235

           or

ASFoundation@columbus.rr.com