WBAL Radio Kids Campaign Proposal Summary for Funding

GENERAL INFORMATIONName of organization

Logo of organization

Years in operation

Type of sponsorship/activity that you require funding for under this request

Summary of event (Max 100 words)

Area that children are from

Description of children’s circumstances that organization serves

Are you a non-profit?

501(c)3 Number (if applicable)

Age of children that will benefit from this request

1

Number of kids benefiting from organization’s total yearly activities

Number of full time employees

Number of part time employees

Number of volunteers

FINANCIAL: THIS REQUESTTotal cost for project

Amount requested from Kids Campaign

Number of children that will benefit from requested Kids Campaign sponsorship

Cost per child (if applicable)

Breakdown of funds requested(Summary)

FINANCIAL: GENERALOrganization’s main sources of funding

Other organizations/companies that support your organization

Organization’s total annual income (previous financial year)

Organization’s total annual expenses (previous financial year)

Amount paid for salaries

2

(previous financial year)

Has this organization previously received funding from Kids Campaign? (If yes, include amount of funding for the past 3 years)

YES NO

In the event that you receive a grant, please state the name of the organization as it should appear on the check.Will you pick the check up or should it be mailed?

CONTACT INFORMATION

Does the organization have a website/Facebook page? If yes, provide links

Contact Name

Number

EmailOrganization’s mailing address

Organization’s physical address (if different from postal address)

Where did you hear about the Kids Campaign?

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Include a Request Document in the following format

Request (Maximum 5 pages)1) Organizational Background & Mission statement2) Operational summary – Summary of Activities and Initiatives3) Description of need4) Financials - Outline total project/activity cost and highlight specific items for WBAL Radio

Kids Campaign funding. Include the cost per child (if applicable).5) Board of Directors – Include a list of the Board of Directors6) Non-Profit Status

AttachmentsAnnexure A: 501(c)(3) letter (If applicable)

Annexure B: Financial statements for last completed fiscal year

Annexure C: PowerPoint Slide (Email one PowerPoint slide with your organization’s Logo and photos about your organization. This will be used during presentation to board. If you don’t have access to PowerPoint feel free to just email/mail photos)

Signed by: ____________________ Signature: _________________ Date:________________

NOTE please email a Microsoft Word and PDF copy of this document to kids@wbal.com when submitting your application.

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