Application Procedures: A Grant Application Form must accompany each request for funding. All fields must be filled in as incomplete applications will not be considered. Please read the accompanying Grant Guidelines and eligibility criteria before applying.

This application form can also be downloaded here or may be obtained from a Westmoreland member or by contacting the Church office at:

Westmoreland Congregational UCC
ATTN: Board of Community Action
1 Westmoreland Circle
Bethesda, Maryland 20816
Phone: (301) 229-7766

Grant requests are reviewed in May and November. Applications must arrive at the Church office no later than May 1, 2008. The application also may be emailed to the following address: SSutton@westmorelanducc.org . All applicants will be notified as to the Board of Community Action's funding decisions. A list of the awardees will be placed on Westmoreland's Web Site.

Please complete all fields:

Submission date: ______________________________________________

1. Name of organization: ________________________________________

Name of Director: _____________________________________________

Address of Organization: ________________________________________

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Organization's Phone Number _________________Fax________________

Organization's E-Mail: __________________________________________

Name & Title of Contact Person: __________________________________

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E-Mail of Contact Person: _______________________________________

Contact phone number: ________________________________________

Amount Requested: $__________________

2. Please describe your organization's core focus, mission or activities: (A brief statement may be supported by a brochure or single page summary):

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3. How will your organization use the grant funds to promote individual or community self-reliance, foster ecumenical or intra-denominational cooperation, or provide direct services?

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4. Please briefly explain why your organization prioritized this project for use of the grant funds.

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5. If applicable, please indicate approximately the number of the people (infants, children, adolescents, adults or seniors) benefiting from this award?

Infants (under 1 year of age) ____ Children ____ Adolescents ____

Adults ____ Seniors ____

6. Please list the member(s) of Westmoreland who have volunteered at your organization within the last year.

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7. Please indicate the interest and involvement of the Westmoreland members:

Donates food/clothing or supplies ____ Tutors ____ Fund Raises ____

Develops policies ____ Provides office support ____ Board Member ____

Other activities _____________________

8. Please include all of the following documents. If they are not available, please explain why:

A. Most recent annual report.

B. Most recent full year budget that is available.

C. IRS tax determination letter indicating that your organization is recognized as a public charity under Section 501(c) (3).

D. Please write below the exact name of the organization that should appear on the check.

E. Please indicate the address where the check should be sent.
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F. At the end of the grant year, funded organizations are required to send to the Board of Community Action, a project update describing how the funds were used. The update, no more than several paragraphs, should briefly explain the project's accomplishments, use of funds and current status.
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11/09/2007 Grant Guidelines - WCUCC