ADVISORY NEIGHBORHOOD COMMISSION 1B

PO Box 73710, Washington, DC 20056

GRANT APPLICATION

Grant applications must be received by the staff director no later than the 15^th of the month, prior to the meeting of the Commission, at which time the application will be considered. The Staff Director shall ensure that all applications are distributed to the Grants Committee, and all Commissioners, as soon as received.

DATE:

Name of Organization:

Mission Statement (if applicable):

Street Address

City, State, Zip

Name of representative responsible

Daytime telephone Evening telephone

Fax number Email address

Grant amount requested Total required for project

Please respond to the 11 questions listed below. Applicants must respond to all questions and provide supporting documentation where applicable. For more information about policies governing grants, go to http://anc1b.org/committees.html

1. Does the event serve a public purpose?

YES NO (If NO, this application cannot be processed. DC law defines a public purpose as “an activity which serves as a benefit to the community as a whole, and which at the same time is directly related to the functions of government;”).

2. Will the grant funds be used for projects/events that benefit public schools, or used to conduct programs (on a contractual basis) with existing government agencies?

YES NO (If YES, this application cannot be processed).

3. Does the amount requested exceed $500, or exceed 15% of the total project budget?

YES NO (If YES, this application cannot be processed. Grants requested shall not equal more than 15% of the entire budget, or five hundred dollars, whichever is greater).

4. Does the project/event duplicate already available programs and services?

YES NO (If YES, this application cannot be processed).

5. Does the project/event benefit persons who reside, or work, within the Commission area?

YES NO (If NO, this application cannot be processed. Projects should serve ANC 1B directly, whether they are based in the Commission area or primarily focus their efforts on 1B residents).

6. How many will benefit from the grant?

7. Will the project/event be for profit?

YES NO (If YES, this application cannot be processed. Applicants cannot profit from the project being awarded).

8. Will the funds awarded be used for entertainment, block parties, partisan political activities, or the purchase of meals/food?

YES NO (If YES, this application cannot be processed. Grant funds cannot be used to support any of the activities listed in Question 8).

9. What is the purpose of the project/event?

10. How will the grant benefit the general public in ANC 1B’s area?

11. Grant budget- please attach an itemized budget. Budget should include total budget as well as a budget for use of ANC 1B funds. Note: GRANTS WILL NOT BE ACCEPTED UNLESS ITIMIZED BUDGETS ARE INCLUDED.

Please do not write below this line

______________________________________________________________________________________________

Date approved: ____________ Amount: ____________ Grant Number: _______________

DC Code Title 1, Chapter 3, Subchapter 5

1-309.13(m)(3) Within 60 days following the issuance of a grant, the grant recipient

shall forward to the Commission a statement as to the use of

the funds consistent with the grant application, complete with

receipts which support the expenditures.

Please read the grant guidelines available in print or at www.anc1b.org. Commission funds are restricted and audited, and it is critical that your application adhere to the uses and prohibitions described in the grant guidelines.