Cenarrusa Grant Request Form
Guidelines:
Proposed activities must be linked to learning and promotion of Basque language, history and/or culture.
Programs can be for youth or adult level programs.
Funds are intended to promote public or group activities. Awards will not be given to individuals for personal gain or to complete a project that will not be open to the general public.
The maximum award amount is $2,000.
Submission: Grant requests may dropped off at the Basque Museum & Cultural Center, mailed to Cenarrusa Foundation for Basque Culture 611 Grove St. Boise, Idaho 83702 or emailed to cenarrusafbc@gmail.com.
Name of Applying Organization: __________________________________________________
Address: ____________________________________________
City:___________ State: ________ Zip: ______
Contact name: ___________
Phone: _______________
Email: __________________________
Brief Description of the Project (please use space provided below):
Grant Amount Requested: $______
Have you received grant funds previously from the Cenarrusa Foundation? Yes No (circle 1)
(Final reports must be filed for previous award $ before a new application will be considered.)
Please provide a description of the programs and services you offer.
How do you propose to use the grant funds you are applying for and how many people do you estimate it will affect or reach?
Who will be in charge of the administration of the program? Please give some information about his/her/their qualifications.
Please present a timeline for the expenditure of and reporting on the use of the funds.
Please present a budget for the project indicating:
Total Project Cost = $_________
Organization contribution (in-kind or actual cash) = $_________
Please explain: see attached
Grant funds requested = $
What other sources of funding are you seeking? How are you raising funds to complete this project?
Please attach any material that you feel will help describe the program you are proposing.
NOTE: Please be aware that grant recipients may be asked to make a brief presentation at a future date to share how your award made an impact in your community.