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The Teen Trust Alumni Board of Directors is a diverse group of high school students working in conjunction with

the Community Foundation of Northeast Iowa to carry out the first Teen Trust Alumni Project, funded in part by

Learn and Serve America. We have $10,000 to distribute to area students, teachers or non-profit organizations who

want to carry out a service-learning project in the spring of 2012. We strongly support youth-driven projects and

encourage students to fill out this grant application with the help of a faculty advisor. Individuals must belong to a

school or area nonprofit, as we can only award funding to a non-profit organization. Projects will be judged on theirincorporation of service-learning, originality, and, most importantly, the impact they will have on project

participants and the community their project affects. The application folder includes service learning information,advice for first time grant writers, budget guidelines, and project ideas.

DEADLINE: Grant applications must be received by 5:00 P.M. Dec. 2, 2011

Please TYPE all answers. (* indicates a required field)

Organization or School Background Information:

Name of Organization or Sponsoring Organization*:

Address*:

Contact Person/Program Coordinator*: E-Mail Address:

Web Site Address: Federal Tax ID:

Phone Number*: Fax Number:

Business Hours or Best Time to be Reached:

Description of Project:

Name of Project:

Dollar Amount Requested: Total Project Budget:

Est. Number of Youth Involved Est.Number of People Served:

Proposed Time Frame for Project:

2011-2012 Teen TrustAlumni Project

Grant Application

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Respond to the following to assist us in understanding your project. Please type responses using 12-point font

and do not exceed 8 double-spaced pages. Incomplete or hand-written applications will not be accepted. We

encourage you to review the service learning information provided in the application packet before

completing this section.

Project Background

1. Provide a brief overview of your project. Explain the basic idea behind the project, your motivation forcarrying out the project, and any information about who you will be working with to carry out the project

(e.g.,. classmates, teachers, or larger organizations).

Service Learning is based on a process called IPARDC. Using the included resources about IPARDC,

respond to items 2 - 6.

2. Explain how you investigated the underlying issues that your project will address and how you decided onyour project.

3. Explain in detail your plans for the project. You may write the components of the project in a list format.Include an approximate time frame and explain how you will monitor the progress of your project.

4.

Explain the impact and importance of your project. Who will it benefit and how will it benefit them?5. Explain how you will incorporate reflection in to learn more about the topics of the project and the

surrounding community.

6. Explain how you plan to demonstrate and celebrate your success. What community groups will you shareyour project results with?

Service Learning Standards outline the benchmarks for a successful project. Using the included

resources, detail how your project will meet these benchmarks in your responses to items 7 and 8

7. Explain what participants will learn from their involvement with the project. What element(s) of thecommunity will they gain a better understanding of? What issues will be brought to light?

8. A diverse team is essential to the success of any project. How will you involve youth in the planning,marketing, and implementation of your project? What community partners will you use with this project?

Additional Information9. Has your organization done similar projects in the past? If so, what were the results?!

Project Financial Information

Please provide us with a specific project budget, including both revenue and expenses. Specify exactly how

requested funds will be used. We recommend, but do not require, that the requesting organization provide

15% of the total project costs. An example budget is included in the application packet.

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Important Information

Ensure you have included the following:

! Completed project information! Complete project budget! A financial statement for the sponsoring organization.!

A copy of the organizations 501(c)(3) (or other nonprofit status) determination letter.! Any additional information that would help the decision making process.

PLEASE BE SURE TO SUBMIT 13 COPIES OF YOUR FULL APPLICATION

Signature of organization Chairperson/CEO

or School Administrator :

Date:

Applications must be received by 5:00 P.M. Dec. 2, 2011

Any questions or concerns can be directed to:Ryan Giarusso, Teen Trust Alumni Project Student Director, TeenTrust2@gmail.com

Mail or deliver to: Teen Trust Alumni Project

425 Cedar Street- Suite 310

PO Box 1176

Waterloo, IA 50704

The Teen Trust Alumni Project is a program of the Community Foundation of Northeast Iowa.

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Teen Trust Alumni Project

Example Budget

Please complete the budget form below:

Teen Trust

Request Budget Explanation In-Kind

Desctiption/Source of in-

kind funds

Salaries

Transporation

Supplies

Professional

Services

Other (Please

specify)

Totals

SAMPLE BUDGET

Teen Trust

Request Budget Explanation In-Kind

Desctiption/Source of in-

kind fundsSalaries 265 Coordinator Salary (20

hrs.)

Transporation $50.00 Van retal

Supplies $70.00 Display materials (Poster

board, printed pictures,

sticky tape, lamination)

40 Gardening supplies

donated by local

hardware store

$25.00 Reflection journals

$100.00 Digital camera

$120.00 Gardening supplies

Professional

ServicesOther (Please

specify)

Totals $365.00