Project Summary:

1. Provide a brief description of your project that addresses the following: the overall purpose of the project; the total number of people who will benefit and the geographic location that will be served; the outcomes you anticipate achieving; and how Foundation funds will be used.

2. Describe your organization, including its mission (the work you do) and vision (the ends you hope to achieve), services currently offered, numbers of people served annually, and any other attributes that distinguish your organization in the community.

3. How does the project for which you are seeking grant support fit into your organization’s strategic plan? If your organization has a strategic plan, please include the date(s) that this plan covers. If you do not have a strategic plan, how does this project enhance or expand your organization’s mission?

4. What makes your organization uniquely qualified to execute this project? What are your organization’s strengths and how does your organization’s experience/past track record uniquely qualify you to successfully implement this project and attain the outcomes you seek?

5. What has your organization achieved in the last 3-5 years that may have a direct impact on the project for which you are seeking support? What has quantifiably improved in your community because of your organization’s efforts? In what ways have these improvements occurred and been measured?

6. If your organization has a Board of Directors, what percentage of your Board supports your organization financially?

7. Does your project address a specific need in your community? Who or what groups of people will be assisted by your project?

8. What data (if applicable) supports the need for this project? If such data exists, what is its source? Describe how the project will meet the identified need(s).

9. What community partners are important to this project’s success? Describe the commitment and involvement already obtained from these partners.

10. What outcomes do you expect to achieve with this project? What measures will be used to demonstrate success? Please include measures beyond numbers – are there specific behaviors that will change because of this project? Will there be measurable outcomes for specific groups of people and, if so, what kind of impact is anticipated? What else will happen because of this project’s implementation?

11. Please list all funding sources already contacted or that you plan to contact to support this project, the amount of funding requested, and the status of the request – e.g., request approved and amount received; reason for denial; if pending, when decision will be made. If you include in-kind sources of support, please describe what it is as well as the source (e.g., 12 hours donated excavation work from 123 Excavating; 18 bags of mulch from Superior Nurseries).

12. If your request for support is granted by the Foundation, how will this project continue after all Foundation funds are expended?

13. If funding is awarded by the Adam & Nellie Horn Foundation, how will you promote and publicize the Foundation’s role in supporting this project? Please be specific.