Grant Application Form With Project Type Page 2
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4Have you ever received monies from RMHC before? If yes, please explain.
_________________________________________________________________
_________________________________________________________________
Note: If you have received funding from RMHC of South Florida previously, you must wait at
least two full years from the time you were awarded the grant until you submit another request
for funding.
HISTORY
Provide a brief history of your organization. Include overall goals and purposes
of the organization or specific department concerned.
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
BUDGET
Amount Being Requested from RMHC of South Florida:
$_____________
This amount represents _________% of the total project cost.
Provide an itemized budget for this project (show how/where dollar amount
being requested was obtained).
TARGET POPULATION/DEMOGRAPHICS
Provide the following information relative to the project you are requesting
funding for:
Number of children that will be served: ________________
Age(s) of children that will be served:
________________
Geographic area served:
________________
Percentages this project will impact:
African American
________%
Asian American
________%
Caucasian
________%
Hispanic American
________%
Native American
________%
Other - __________ _
_______%
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