1 Submit your completed application package online at www.richmondloveyourblock.org by 11:59 pm on Friday, February 23, 2024.
E-mailed applications will NOT be accepted.
Questions? E-mail [email protected], call 510-620-6563, or visit www.richmondloveyourblock.org.
FY2023-2025 Love Your Block Mini-Grant Application
HANDWRITTEN APPLICATIONS WILL NOT BE CONSIDERED.
APPLICATION PACKAGE DEADLINE: 11:59 PM ON FRIDAY, FEBRUARY 23, 2024 SECTION 1: APPLICANT INFORMATION
Please select your applicant type:
☐ Organization utilizing a non-profit 501(c)3 fiscal sponsor – must complete Sections 1, 2, 3, 4, 5, 6 ☐ Non-profit organization with 501(c)3 status – must complete Sections 1, 3, 4, 5, 6 Organization Name: Organization Name
Organization Address: Address, City, State, Zip
Executive Director First Name: First Name Executive Director Last Name: Last Name Executive Director Phone: Phone Executive Director E-mail: E-mail Project Manager First Name: First Name Project Manager Last Name: Last Name Project Manager Phone: Phone Project Manager E-mail: E-mail SECTION 2: FISCAL SPONSOR INFORMATION
LEAVE THIS SECTION BLANK IF YOUR APPLICANT TYPE IS “NON-PROFIT ORGANIZATION WITH 501(C)3 STATUS”.
Note: Please review the Mini-Grant Information prior to beginning your application to fully understand the documents your fiscal sponsor will need to provide and documentation deadlines your fiscal sponsor will need to follow.
Fiscal Sponsor Organization Name: Fiscal Sponsor Organization Name Executive Director First Name: First Name Executive Director Last Name: Last Name Organization Address: Address, City, State, Zip
Phone: Phone E-mail: E-mail
SECTION 3: PROJECT DESCRIPTION
Project Title: Project Title
Project Summary (100 words or less):
Enter text
Project Budget: Project Budget
Grant Amount Requested (up to $10,000): Amount Requested Project Start Date (must be July 1, 2024 or later): Click here to select a date.
Project End Date (must be April 30, 2025 or earlier): Click here to select a date.
2 Submit your completed application package online at www.richmondloveyourblock.org by 11:59 pm on Friday, February 23, 2024.
E-mailed applications will NOT be accepted.
Questions? E-mail [email protected], call 510-620-6563, or visit www.richmondloveyourblock.org.
Project Site Address: Address, City
Is the Project Site…
• A City of Richmond Park or Trail (i.e. Richmond Greenway)? Select Yes or No • Accessible or viewable by the public? Select Yes or No If “No”, your project is ineligible.
• Within the boundaries of the City of Richmond? Select Yes or No If “No”, your project is ineligible.
• Encroaching on property of a public agency other than City of Richmond (i.e. CalTrans, BART)? Select Yes or No
If “Yes”, you must submit proof of a pre-existing agreement with the agency or your application will be disqualified.
• On private property? Select Yes or No
If “Yes”, you must submit a signed Letter of Permission from the property owner authorizing the project.
If your organization owns the property, you must still submit a letter.
How many volunteer community events will be part of your project? # of community events When do you plan to hold your community events? Approximate dates of community events Describe your Love Your Block Mini-Grant project proposal. Be sure to include the details of your community events.
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What is the overall goal of your Love Your Block Mini-Grant project? Enter text
What metrics/data will you gather to show the impact of your project? List at least 3.
3 Submit your completed application package online at www.richmondloveyourblock.org by 11:59 pm on Friday, February 23, 2024.
E-mailed applications will NOT be accepted.
Questions? E-mail [email protected], call 510-620-6563, or visit www.richmondloveyourblock.org.
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SECTION 4: VOLUNTEER & NEIGHBORHOOD ENGAGEMENT
List any individuals or entities you will be partnering with for this mini-grant and provide their role.
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How many volunteers will be recruited for your project? # of volunteers What will be the role of volunteers in your project?
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What community input have you received that is included in your proposal? If you have not received any community input yet, describe how you will seek community input prior to project implementation.
Enter text
How will you involve resident volunteers, community members, organizations, and/or businesses that live in or frequent the project area?
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What community outreach methods will you use to recruit volunteers for and publicize your project? Enter text
SECTION 5: BUDGET
Complete your budget proposal using the provided Excel template and submit it with your application.
SECTION 6: ACKNOWLEDGMENT
4 Submit your completed application package online at www.richmondloveyourblock.org by 11:59 pm on Friday, February 23, 2024.
E-mailed applications will NOT be accepted.
Questions? E-mail [email protected], call 510-620-6563, or visit www.richmondloveyourblock.org.
By submitting this application, the applicant acknowledges the following:
• Applicant has thoroughly read and understands the Love Your Block Mini-Grant Guidelines, Love Your Block Mini-Grant application questions, and the City of Richmond and Community Services Department requirements.
• All questions contained in the application have been answered and the following required documents are included as part of the application packet (check all boxes):
☐ Completed application (all sections completed and questions answered) in readable PDF or Word format (scanned files are not accepted)
☐ Budget proposal in Excel format
☐ Project site photo showing current condition of the project site ☐ Proof of 501(c)(3) status (Non-Profit Status Determination letter from the IRS) • The following documents are included in the application packet as needed (check applicable boxes):
☐ City of Richmond W-9 form for the 501(c)3 organization if the applicant does not have an active vendor number with the City of Richmond
☐ Vendor Supplemental Questionnaire if the applicant does not have an active vendor number with the City of Richmond
☐ Signed Letter of Permission from property owner, if proposal takes place on private property ☐ Signed agreement with a public agency, if proposal encroaches on non-City public property ☐ Signed agreement between the organization and the fiscal sponsor, if applicable • Applicant’s organization will obtain comprehensive background checks and/or finger printing of all employees and/or volunteers that work directly with youth or such other vulnerable populations. (For applicable organizations requesting funds to support an existing or new youth program and/or program that works with other vulnerable populations); and
• The information included as part of this application is true and accurate.
Applicant Name Organization Name
Applicant Name (Type) Organization Name
Click to enter a date
Date
SECTION 5: BUDGET
Item # Item or Category Description/Purpose of Item Cost Quantity Total Cost 1 -$ 0 - $
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Total Amount Requested: - $
Complete the budget form below. Be as detailed as possible. Thoroughly review the Mini-Grant Guidelines for information on eligible and ineligible costs, and contact Love Your Block staff if you have any questions. Ineligible expenses will result in disqualification. Line item categories with lump sum estimates are accepted. Round, even numbers are preferred. Click on the "Sample Budget" tab below to see a sample budget for a small planter box project.