CollaborACTION Grant Application

PURPOSE
CollaborACTION grants support solutions that have the potential to impact education levels, character development and workforce skills.

Innovative project proposals need to be a collaboration between two or more partnering organizations. Awardees are eligible to receive one-time funding for seed money with an expected range of grant funds from $5,000 to no more than $50,000.
CRITERIA
CollaborACTION Grant projects must have the following components: two or more collaborative partners, involve more than one community sector, utilize a new approach to meet an education or workforce development need, identify a target audience, develop an actionable pilot or prototype, be replicable and engage a tax-exempt organization or public entity as the fiscal agent.
INELIGIBLE REQUESTS
Proposals that replicate existing programs will not be considered. This includes general operations, program continuation, new construction, endowment, debt reduction, projects that fall outside the intent of the program or projects that duplicate a program unless a significant innovation is proposed.
DEADLINE
Oct. 23, 11:59 p.m.
INFORMATION REQUIRED FOR THIS APPLICATION
1. Managing Partner Contact Information

2. Collaborating Partner(s) Contact Information

3. Project Summary

4. Project Budget
All proposals must provide a 50:50 matching source (may include in-kind services) and a proposed sustainability plan.
Managing Partner
Entity responsible for grant submission.
Legal name:*
Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Fiscal Agent
If different from managing partner. Must be a tax-exempt organization or public entity.
Name:
Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Grant Application Contact
Contact Name:*
First Last
Contact Title:
Contact Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Contact Phone:*
Contact Email:*
Project
Amount requested (not to exceed 50 percent of total project cost):*
Match amount:*
Total project cost, including match:*
Proposed time period this grant will cover:*
Project name:*
Project target population:*
Summary of project:*
Collaborating Organization
Collaborating Organization Name:
Collaborating Organization Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Collaborating Organization Website:
Please explain past collaboration history between the applicants:*
How does this proposed project develop an innovative, new approach for our region?*
Are there comparable offerings in your service area? If so, what improvements does your project propose?*
Models of best practice:*
Project goals and objectives:*
Project description:*
Personnel and qualifications:*
Evaluation plan:*
Please upload supporting documents of your evaluation plan:
Drop files here or
How and with whom will you share project results?*
If your project is awarded, how will Mosaic Life Care Foundation be acknowledged?*
Please upload a compiled document of the following materials:
1. Tax-exempt verification of the fiscal agent for this proposed project
2. Letter of support from each collaborative partner, including their proposed role
3. Verification of matching sources of funds (in-kind and cash)
4. Timeline
5. Budget narrative (not to exceed one Excel sheet)
6. Budget information detailing budget item, grant request, match amount and totals
Compiled Document:*

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CollaborACTION Grant Application

PURPOSE

CRITERIA

INELIGIBLE REQUESTS

DEADLINE

INFORMATION REQUIRED FOR THIS APPLICATION

Managing Partner

Fiscal Agent

Grant Application Contact

Project

Collaborating Organization

Please upload a compiled document of the following materials:

Main office

Caregivers

Forms

Newsletter

Resources