CRI Grant Application

* Required Fields

Grant applications will be evaluated based on the information provided within the following sections. Grants will be awarded based on the fit of the proposed activities with current MCUF grant impact goals and on the availability of grant funding.

Date of Application:

/ /

Applicant Name: (Credit Union):

President/CEO/Manager:

Address:

City:

State:

ZIP:

Phone:

Fax:

Grant Contact: (if not CEO):

Phone:

Email Address:

Purpose of Grant (one sentence):

Amount of Grant Requested:$:

Total Project Budget: $:

Section 1: Statement of Need

Please describe in 250 words or less the specific problems that will be solved and/or needs that will be met through your project that fit within the mission of the Michigan Credit Union Foundation of improving financial well-being of people, families and communities in Michigan.

Statement of Need:

Section 2: Description of Proposed Activities

Please describe in 300 words or less your plans for implementation, timeframes for activities, and the personnel responsible for managing and implementing your project.

Proposed Activities:

Section 3: Measures of Success

Please list your project's goals and qualitative and/or quantitative achievements to measure each goal's success.

Provide a brief (100 words or less) narrative with more details on how achieving these goals will help meet the needs of the community, and/or target population.

Project Goal:

Measure of Success:

Project Goal:

Measure of Success:

Project Goal:

Measure of Success:

Project Goal:

Measure of Success:

Section 4: Leveraged Funds/Partner Organizations

Please provide a list of the organizations that are making a financial contribution or with which you are partnering to support the project. This can include your own organization as well as partners. List the dollar amount of funds each organization will be contributing.

In narrative below the table, please briefly (in 100 words or less) describe how the funds will be used.

Leverage Funds/Partner Organizations

Name of Organization:

$ Amount of Leverage Funds/Other Contributions:

Name of Organization:

$ Amount of Leverage Funds/Other Contributions:

Name of Organization:

$ Amount of Leverage Funds/Other Contributions:

Name of Organization:

$ Amount of Leverage Funds/Other Contributions:

Section 5: Sustainability

Will the project be sustainable after the one year grand period?

Yes

If no, please explain:

Section 6: Project Budget

Project Budget. Please upload a project budget. Please place an asterisk next to all line items to be covered by the Michigan Credit Union Foundation grant. Place a different mark next to line items to be covered by other sources as you have outlined in Section 4. Include assumptions and a brief narrative as appropriate.

Upload Budget Document:

Section 7: Supporting documents

Supporting documents
Please upload up to three supporting documents if desired.

Supporting Document One:

Supporting Document Two:

Supporting Document Three:

Section 8: Agreement with Grant Terms - Please provide an indication of agreement with the following grant terms:

Reporting and Sharing Grant Activity Information:
* Grant activities may be highlighted on the websites and in communications of the Michigan Credit Union Foundation (MCUF) and the Michigan Credit Union League & Affiliates (MCUL).

* Grantee will provide MCUF with copies of all project marketing materials, articles, announcements, etc., that relate to the grant and, unless otherwise notified, MCUF shall hereby be granted a license to use such materials for communications.

* Grantee will work with project participants including individuals and any partner organizations to obtain personal success stories, and permission to utilize these stories for MCUF and MCUL communications.

* Grantee will provide periodic progress reports as requested detailing activity progress and how the grant impacts the participants.

Use of Grant Funds:
* Grant funds must be utilized only for the purposes and activities specified in this application within one year from the date the grant is approved unless written approval of the MCUF is obtained.

* Grant funds may not be used to pay any person to influence or attempt to influence any legislative activities.

* Grant funds may not be used to benefit any individual or related entity of Grantee.

* Grant funds may not be used to pay for general operating and/or administrative expenses related to the Grantee.

MCUF Recognition and Participation:
In all press releases, news stories, articles, web site references or other promotions about the grant project activity, MCUF will be mentioned as having provided grant funding. Copies of such materials will be shared with MCUF. MCUF requests to be alerted in advance of any press conferences, grand openings, public celebrations or other promotional activities related to the grant project activity and copies of photos, videos and subsequent news stories will be shared with the MCUF.