MADISON4KIDS FUNDING REQUEST APPLICATION

Complete the request application below to get the funding for your project. Applications will be considered only if request helps our kids:
•	To be healthy
•	To have confidence
•	To find inspiration
•	To learn

The applications must be completed electronically. Details are extremely important. Youth are encouraged to be involved in completing requests for grants. Requests can be made for projects, events, programs, specific needs, etc. Omit questions that do not apply to your specific request.  

Before completing this form, we recommend that you review our Submission Guidelines. 

Send completed application and supporting documents to: grants@madison4kids.org

Be sure to have your name and information on all attachments.

Grant Submission Date 		
Person Completing Form	Full Name	

WHO IS THE GRANT FOR? 
Complete either the group or individual information below.

Group Name (if applicable) 		
If applying on behalf of group, please indicate relationship to group.		
Groups mission or main purpose	

OR 

Individual Name 		
Age/DOB		
Phone Number		
Email Address		
Address, City, State, Zip		

CONTACT INFORMATION 

Primary contact 

First and Last Name 		
Age		
Phone Number		
Email Address		
Address, City, State, Zip		

Secondary contact 

First and Last Name 		
Age		
Phone Number		
Email Address		
Address, City, State, Zip		

Project reporter 
This is the person who will provide updates/outcomes to Madison4Kids.
First and Last Name 		
Phone Number		
Email Address		

Additional Information
Have you, or your group ever received a grant from Madison4Kids in the past?	Yes or No	
If so, when?	mm/dd/yyyy
	
How did you hear about Madison4Kids?	
	
Are you a 501c3 organization (charitable organization as defined by the IRS)?	Yes or No	
501c3 Number		
Note: If you are a 501c3 organization, you must submit a copy of your IRS Determination letter with your application to be considered.

WHAT IS THE GRANT FOR? 
Complete either section A or B below as it applies to your request.  

Section A – Specific Need 
(Complete section only if applicable)

Describe what funding is needed for.
(250 words max)

In what ways will this project benefit kids in the greater Madison, WI community?
(250 words max)

Funding
How much money are you requesting from Madison4Kids?	$
	
What is your special needs total budget?                                    	$	
Date funding needed	mm/dd/yyyy	

Please list your major special need expenses below.		
Item 	Cost	

		

TOTAL	$	
* Add additional rows if necessary

Section B – Project or Event Information 
(Complete only if applicable)

Project or Event Name		
Location		

Detailed project description 
(250 words max)

In what ways will this project benefit kids in the greater Madison, WI community? 
(Limit to 250 words)

Are kids involved in project planning and/or execution? If so, please explain? 
(Limit to 250 words)

Timeline
Please list your project or events major milestones below.	 If this is an ongoing project please provide the detailed project timeline and specific activities that will be conducted.	
Milestone 	Date	
Start Date	mm/dd/yyyy	

		

		
End Date	mm/dd/yyyy	

Funding
How much money are you requesting from Madison4Kids?	$
	
What is your project’s total budget?                                    	$	
Date funding needed	mm/dd/yyyy	

Please list your project’s major expenditures below.		
Project Expenditures 	Cost	

		

		

		

		
TOTAL	$	
* Add additional rows if necessary