2023-2024 Youth of Promise Grant Application

Applications may be submitted to the Antioch Community Foundation using the below online form. The deadline for receipt of applications is 5:00pm, Thursday, October 26, 2023. No mailed or faxed documents will be accepted. For questions regarding the Antioch Community Foundation and the application/award process, please send your inquiry to grants@acfcommunityimpact.org.

Do not close this page before completing and submitting your application, as the information will be lost.

A copy of the application will be sent to the contact’s email address upon submission.

Name of Organization(Required)

Contact Completing Application

Name(Required)

First Middle Last

Title

Email(Required)

Phone(Required)

Executive Director or Chief Officer

Name(Required)

First Middle Last

Title(Required)

Email(Required)

Organization Information

Primary Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Do you have a different mailing address?(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Primary Phone(Required)

Website Url

Facebook Page Url

Is your organization a non-profit (501c3)?(Required)

Please Enter Your EIN Number(Required)

Does your organization have a Fiscal Agent?(Required)

Fiscal Agent Organization Name(Required)

Fiscal Agent EIN(Required)

List the names of Board Officers (with title) and all Board Members of your organization or Fiscal Agent.(Required)

Full Name

Title

Note: If you have a Fiscal Agent, list the names of the local Board or individuals responsible for the project.

Geographical Area Served: Check One(Required)

East Contra Costa

East Contra Costa and other areas

List Cities/Areas Served(Required)

Briefly, state the mission/purpose of your organization and include a description of the populations you serve(Required)

Annual organizational budget(Required)

Number of clients served per year

Name of Project to be funded(Required)

Enter the amount you are requesting for this project (max $10,000)(Required)

Please enter a number from 1 to 10000.

What is your total project budget?(Required)

Partner organizations you worked with to implement and fund this project (if applicable)

Partner Organization

Role

Partner Funding (if any)

Use the plus sign to add more partners

Provide a brief description of how these funds will support your effort in roughly 500 words or less. Include your overall purpose/goals; how this grant will support justice-system involved youth and/or youth at risk of system involvement, promote strategies and best practices that effectively prevent or reduce juvenile crime, and provide youth and their families with opportunities to achieve, grow, and thrive.(Required)

In 500 words or less, describe your approach for reaching your desired outcomes, and the specific programs/services you will provide in any of the following areas: (1) Academic success and tutoring , (2) Mentorship, (3) Leadership development, civic engagement/social justice, (4) Prevention-focused programming (including mental health and socio-emotional health programs and services), (5) Youth employment (including internships or work-ready skills training, etc.)(Required)

You may attach a copy of your project’s logic model or a statement/graphic of your project’s theory of change to this application (optional)

Drop files here or

Max. file size: 5 MB, Max. files: 2.

Please include a description of the target population(s) to be served; where (please specify cities) and when activities will take place; the projected numbers of participants that will be served by this project; and the benefits to the community and to participants served.(Required)

In 350 words or less, describe the metrics/measures you will use to evaluate, track, and report the impact/results of your project.(Required)

Describe how you will acknowledge the Youth of Promise Fund and the support of the Antioch Community Foundation. (e.g., in program material, social media, press, event announcements, etc.)(Required)

Is your organization able to provide ACF with photos, video testimonials, and/or other media from ACF supported events(Required)

Your organization will have an opportunity to approve any content used by ACF and contributing content is not a requirement to receive a grant.

2023-2024 Youth of Promise Grant Application

Contact Completing Application

Executive Director or Chief Officer

Organization Information

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