Application for support
The Community Focus Fund is a community outreach program that provides financial support, employee volunteer hours, and used computers to local educational and nonprofit organizations. Focus areas include: affordable housing assistance, community, education, environment, safety & health, senior citizens, and youth.
Please read the guidelines and technical hints prior to filling out and submitting this application.
Please review the application before filling it out. You must provide all the required information at the time you submit this application. You cannot save it and return.
We accept volunteer and computer requests all year long.
Financial applications and all supporting documentation must be received by December 19, 2008 for consideration during 2009.
You will be notified via e-mail of the committees' decision for financial support by February 20, 2009.
Section 1: General Organization Information
Section 1 must be completed for all requests.
*Organization Name:
*Mailing Address:
*City
*Zip Code
*Phone Number
FAX Number
*Contact Person First Name:
* Contact Person Last Name:
Contact Person Phone Number:
*Contact E-mail Address:
*Executive Director/CEO/Superintendent
First name:
*Executive Director/CEO/Superintendent
Last name:
*Phone number
*Executive Director/CEO/Superintendent
E-mail address:
*Federal tax number:
*Mission statement:
Financial applications and all supporting documentation must be received by December 19, 2008 for consideration during 2009.
Supporting documents can be mailed to Community Focus Fund, P.O. Box 1103, MC 0950, Colorado Springs, Colorado, 80947-0950.
You can deliver these documents in person to 121 S. Tejon Street, Plaza of the Rockies-South Tower, 5th floor located on the corner of Tejon Street and Colorado Avenue. Parking is available in the City Parking Garage at Nevada Avenue and Colorado Avenue.
List of required documents must be received by 5:00 p.m. December 19, 2008. No faxed documents accepted.
Most recent audited financial statement
List of Board of Directors
IRS tax exemption letter
2009 Program Budget
List of 2008 funders
Section 2: Financial Support Request
If requesting financial assistance, Section 1 and Section 2 must be completed.
Yes, I am requesting financial assistance.
Program Name
Describe the program, not the agency, you are requesting funding (limit 200 words):
Number of individuals this program will directly impact.
(numbers only)
Estimated cost of entire project/program: $
Amount requested from Colorado Springs Utilities: $
Detailed description how you will use the funds (limit 50 words):
List other funders for the project/program:
Section 3: Volunteer Assistance
If requesting volunteer assistance, Section 1 and Section 3 must be completed.
Yes, I am requesting volunteer assistance.
Project start date:
Choose Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
01
02
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31
Year
2008
2009
Project end date:
Choose Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2008
2009
Start time of event
AM
PM
End time of event
AM
PM
Number of volunteers needed:
(numbers only)
Project location (address):
Age requirement of volunteers:
5 and older welcome
8 and older welcome
12 and older welcome
16 and older welcome
18 and older welcome
Other
Detailed description of the volunteer project including location, tasks the volunteers will be doing, and skills the volunteers need:
Expected environmental/safety concerns (example: volunteers should wear work gloves or bring work boots):
Number of individuals directly impacted by project:
(numbers only)
Comments regarding individuals directly impacted:
Is there insurance for project/activities and volunteers?
Yes
No
If yes, please explain:
Colorado Springs Utilities equipment requested for the project (Colorado Springs Utilities volunteers must operate all Colorado Springs Utilities equipment):
Section 4: Computers
If requesting computers, Section 1 and Section 4 must be completed.
Yes, I am requesting computers.
How will the computers be used?
Please state the type and quantity of each type of computer being requested:
Desktop
Printer
Laptop
*
I agree the information above is correct and the Executive Director/CEO/Superintendent of my organization has reviewed and supports the submission of this application.
*Authorized name:
*Title: