GCAC Grant Application

The mission of the Garden Club of Allegheny County shall be to promote greater knowledge of horticulture, stimulate interest in conservation and historic preservation, encourage community and environmental education, and participate in civic planning and planting programs.

Please complete all required questions.

Organization Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Organization Mission Statement

Organization Website

http://

Program or Chapter Website

http://

GCAC Member Sponsor

First Name

Last Name

Is this application being made by a stand-alone nonprofit organization

Yes

Grant Request Amount

What is the most recent annual operating budget for your organization or, if part of a larger organization, that of your program or chapter?

Number of employees (if part of a larger organization, include only your program or chapter, not the entire organization)

Include: Full Time Employees Part Time Employees Number of Volunteers Annual Volunteer Hours

List all sources of income for this project including but not limited to: individuals, foundations, corporate/business, internal and/or parent organization, government, endowment, other (specify), and GCAC request.

Please identify whether the funds have been raised, committed or anticipated.

I, hereby attest the information provided is correct. (typing name is your signature)

Date

YYYY