Community Partner Application
Agency Phone Number:
Contact Person/ Title:
Contact Person's Phone Number:
Contact Person's Email Address:
Total Volunteers Requested:
Total Amount of Funding Requested:
I. Agency Information
Briefly include the history of the agency with the date of incorporation:
Agency's mission statement:
II. Project Description
Project's Mission- How does this project fit within the mission of JLM?
Community Need- How will the community ultimately benefit from this project?
Both males & females
Specific schools, etc. if applicable
Project's objectives/ goals- Identify specific activities of the project that will accomplish these goals. Any available timelines for addressing goals and objectives would be helpful. Briefly describe:
List any other community agencies involved with the project:
III. Volunteer Information
Detailed description of job, approximate time commitment including time for travel and training, skills needed for job and/or skills the volunteer will acquire, minimum number of volunteers needed for the project:
If applicable, describe training involved - How many hours/approximate time commitment, including time for travel, skills needed for job and/or skills the volunteer will acquire:
Location of project: (be specific)
Is parking provided?
Volunteer schedule (please check all that apply)
Time of Day (please click all that apply)
After School 3-6
IV. Partnership with Junior League of Mobile
Include ways in which your organization intends to promote and partner with JLM through the proposed project. This can be listing JLM on your website, promoting JLM at your events, recognizing JLM in your publications, etc.
V. Financial Information
Include the total project cost (include status of financial requests from other organizations, if applicable), total amount of JLM funds requested, itemized budget showing proposed spending of JLM funds, and the agency's current annual operating budget.
VI. Nonprofit 501(c)(3) Status Letter from IRS
Attached 501(c)(3) Letter
VII. Current Board of Directors
Attached list of current Board of Directors
VIII. Agency Annual Report
Attached Annual Report
Nonprofit 501(c)(3) Status Letter from IRS
List of Current Board of Directors
Agency's Annual Report
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