THE ABELL FOUNDATION Electronic Grant Application The Abell Foundation is experimenting with soft copies of its application form in order to streamline its application process. The application can be obtained on floppy disk or downloaded from the Foundation's World Wide Web site (http://www.abell.org/abell/). Thank you for working with us to improve our grant-making ability. You have downloaded the text file version of the application; you may want to save this file in your word processor's format so that you can format it as you see fit. Our preferred format is Microsoft Word 6.0 for Windows 3.1, but we can read Word 2.0 for Windows, WordPerfect 5.0/5.1 for Windows, WordPerfect 5.1 for DOS, and WordPerfect 5.0/5.1 for Macintosh (if saved on a DOS-compatible floppy) formats as well. IF YOU CANNOT SAVE YOUR FILE IN ONE OF THESE FORMATS, PLEASE SAVE IT AS A TEXT FILE. If you use a newer version of Word (e.g., Word for Windows 95), please be sure to save the document as Word 6.0 or earlier. If you use another word processor, please indicate which word processor and operating system were used to prepare the application. This will assist us in converting the text to our word processor. If you encounter technical difficulties when using this document, please do not hesitate to contact the Foundation at (410) 547-1300 or at abell@abell.org. Be sure to save a copy of the grant application on a separate file for your own records and as a backup in case we have a problem with your file. Return the disk with a printed hard copy of the grant in order to ensure the integrity of the application. Please answer the following questions to help us improve our process. Thank you. Original word processor format: Text file Original operating system: Windows 3.1 Original file name: ABELLAPP.TXT Word processor used to complete the application: Format in which file was saved and submitted: Operating system used by applicant: New file name assigned by applicant: Did you have problems with file conversion? Comments: ----------Insert page break here---------- THE ABELL FOUNDATION Application for Funding Along with this application form please include: 1. A cover letter signed by an authorized representative of your organization. 2. A copy of the latest IRS determination letter of tax-exempt status under section 501(c)(3) and foundation classification under section 509(a). 3. Most recent audited financial statement and copy of current operating budget. 4. A projected operating budget for each year in which funding is requested. 5. List of names and professional affiliations of current board. 6. Pertinent supportive materials. Completed applications should be sent to the following address: The Abell Foundation, Inc. 111 South Calvert Street, Suite 2300 Baltimore, MD 21202-6174 ----------Insert page break here---------- The Abell Foundation Application for Funding Section I: Basic information Date of application: Name of organization: Address: Telephone: Contact person: Contact's title: Organization mission statement: Description of organizational structure, board, and staff responsibilities: (Include board and committee responsibilities, composition of staff and their responsibilities, and level of volunteer involvement) Brief history and success of past projects: Amount requested: $ Total budget for project (include narrative of budgeted items): Purpose of grant: Need/problem to be addressed: Summarize project goals and specific measurable objectives to be achieved during the funding period: How many clients do you serve? Describe your clientele. How will they benefit from the project? What will be the benefits to the community? Timetable of activities and staffing requirements necessary to implement the project: Names and qualifications of personnel to be involved in the project: Is your program considered a pilot project? If so, why? What has been the extent of community involvement and cooperation with others in the field? (List affiliations) Other possible sources of funding: Cite evidence of ongoing financial viability after grant period and indicate extent of long-range plans to institutionalize program: Summarize methods of program evaluation: What are your plans to disseminate the results of theses evaluations to the public? How will data collected or findings of an evaluation be incorporated into long-range program and budget planning? How will the project/program effect a measurable change on improved/expanded delivery of services? ----------Insert page break here---------- The Abell Foundation Application for Funding Section II: Capital funds request information Please complete this section if requesting capital funds. These questions may be deleted or left blank if they are not applicable. Project cost: Basis of cost: If based on appraisal: Market value: Income stream value: Replacement value: Time schedule: If construction project: Preliminary drawings: Construction bids: Permits: Groundbreaking: Anticipated completion: If acquisition project: Appraisal date: Contract date: Settlement date: Project manager: Qualifications: Impact on current operating budget: Pro-forma of operating costs: ----------Insert page break here---------- The Abell Foundation Application for Funding Section III: Endowment funds request information Please complete this section if requesting endowment funds. These questions may be deleted or left blank if they are not applicable. Current level of endowment: Statement of investment policy: Statement of expenditure policy: Name of custodian: List of current investment managers: ----------Insert page break here---------- ----------Format this section landscape (sideways) if necessary---------- The Abell Foundation Application for Funding Section IV: Summary of project request Organization: Project: Grant period — From: To: Overall goals of the project: 1 2 3 4 5 (add/subtract rows as needed) Specific objectives of the project: 1 2 3 4 5 (add/subtract rows as needed) (Create table of main program activities here. Column 1: Description of program activity to be undertaken Column 2: Number of persons involved; board/staffing/volunteer requirements Columns 3-14: Small columns for months 1-12 of project; mark with X to indicate activity will take place during that month) Measurable indicators for ongoing evaluation of effectiveness of project: 1 2 3 4 5 6 7 8 9 10 (add/remove rows as needed) PROJECTED PROJECT BUDGET Summary of revenues: Grants: City State Federal Foundation grants: Corporate Private Earned income Total revenues Summary of expenses: Salaries Fringe benefits Consultants Travel Equipment Supplies Telephone Evaluation Other Overhead Total expenses