Catawba County Youth Council Funding Application

Youth Council Funding Application - Deadline: March 2

Agency Information

Agency Name - Program Name

Agency Address

City

State

Zipcode

Organization Phone w/area code:

Contact Information

Full Name:

Position Title:

E-mail Address:

Contact Phone w/area code:

Employer ID (EIN)#

Amount of request $

What is the mission of your agency/program? (350 word limit)

What services will you provide with these funds? (250 words or less)

How does this program target/address the impact areas of health or education for local children/youth?

Why is this program important to youth in Catawba County?

Will this program require funding each year? If so, how will the funding be obtained in the future?

Number of individuals you expect to help with this request

Provide a break down of the budget for this program (including other funding sources if available).

Is the Youth Council funding essential for the success of your program? Do you have other funding sources?

Are you a 501c3 nonprofit organizations, fiscally sponsored by a 501c3 nonprofit organization, a school or a faith-based organization?

Did you request Youth Council funding the previous year? If so, did you complete an End of Year report?

Yes

Upload 501C3 Form

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