DATE:

LEGAL NAME OF ORGANIZATION:

IRS 501(C) (3) NONPROFIT? Please circle yes no

IRS Tax Exempt Identification Number:

ADDRESS:

EXECUTIVE DIRECTOR:

CONTACT PERSON:

TITLE:

Telephone (          )                           Fax (           )  

Email:

HISTORY AND MISSION OF ORGANIZATION:

BRIEF DESCRIPTION OF CURRENT PROGRAMS:

FINANCIAL DATA:

  ANNUAL BUDGET:

  PRINCIPAL REVENUE SOURCES:

  FUND BALANCES AT END OF LAST FISCAL YEAR:

  FISCAL YEAR ENDED:

  ENDOWMENT:

  TOTAL PROJECT BUDGET:

LIST PREVIOUS SUPPORT FROM PARDOE FOUNDATION

  DATE:               AMOUNT:

  DATE OF GRANT REPORT/EVALUATION:

TITLE OF THIS PROPOSAL TO THE PARDOE FOUNDATION:

AMOUNT REQUESTED:

SUMMARY OF SPECIFIC REQUEST TO THE PARDOE FOUNDATION:

HOW DOES THIS PROJECT FIT YOUR ORGANIZATION'S MISSION AND GOALS?:

HOW DOES THIS PROJECT MEET THE INTERESTS OF THE PARDOE FOUNDATION?:

PROJECT MANAGER AND QUALIFICATIONS:

PROJECT GOALS AND EVALUATION METHOD:

HOW WILL THIS PROJECT BE SUSTAINED AFTER THE GRANT ENDS?

IS THERE ANYTHING ELSE YOU WOULD LIKE TO TELL US?

Application Instructions All materials must be submitted in duplicate. The directors are unable to review incomplete proposals. Incomplete proposal cover sheets will not be accepted and will delay review of the proposal. Please keep your proposal cover sheet to two pages and feel free to submit supplemental materials. Please do not enclose your proposal in a notebook or binder. Deadline: Tuesday, January 15, 2008. Thank you.

The Samuel P. Pardoe Foundation
c/o Mary Phillips, Administrator
Grants Management Associates
77 Summer Street, Suite 800
Boston, Massachusetts, 02110-1006 USA
V  617 - 426 - 7080 x306
F  617 - 426 - 7087

Last updated 08/21/07. Please regularly check this site for updates to these guidelines.