Grant Application

We really want your project and grant application to be successful! If you have any questions or need any help, please contact Amy Lunderby, HCI Investing in Youth Grants Coordinator/Office Specialist, 507-664-3524, amy@northfieldhci.org

Today's Date*

Your Name (individual or group)*

Address*

Street Address Address Line 2 City State ZIP Code

Name of Project/Event*

Amount of Request* (up to $300)*

*NOTE: If your project promotes the love of music for area youth, it qualifies for the Roger Jenni Investing In Youth Grant. Your request may be up to $400.

Contact Person for the Application (if not listed above)

Contact Person Phone*

Contact Person Email*

Is the person submitting this application a Northfield youth (age 18 and under)?***

Yes
No

**HCI places a HIGH PRIORITY on applications submitted by local youth.

We have found that projects led by youth are the most successful. We have also found that it's often helpful for youth to have an adult who provides support in planning the project and/or carrying it out.

Do you have a supportive adult to help with this project?*

Yes
No, but I'd like one
No, and I'm really not interested in having one

What is his/her name?

Description of the Proposed Event/Activity:

Please keep your answers short. We can ask for more information if we need it.

What is the planned project/event/activity? What do you plan to do? Please be specific.*

When and where will the event/activity take place?*

How many youth do you expect to attend/participate?*

What is the age range of the youth taking part in the event/activity?*

How will you let youth and/or others know about your activity/event? How will it be publicized?*

How did you come up with the idea for this project and what do you hope to accomplish?*

Does your project/event have a music theme?

Yes
No

Projects that instill a love of music in youth are eligible for the Roger Jenni Investing in Youth Grant. Awards that fit the criteria can be up to $400.

Roger Jenni Investing in Youth Grants

Up to two Investing in Youth Grants will be awarded each year in honor of Dr. Roger Jenni, who loved music and working with youth. To qualify for a Roger Jenni Investing in Youth Grant, the project/event MUST have a music-related theme. Each Roger Jenni Investing in Youth Grant will be eligible for an award of up to $400.

Please explain why you would like your application to be considered for one of the Roger Jenni Investing in Youth Grants. Include information explaining how the project/event includes a musical theme.

How will you spend the money you are asking for? What are the major costs you expect? How much do you think you will spend on each of these costs? (example: Food- $75, Renting Room - $25, etc.) Please be as specific as you can.*

Will there be a charge for youth to attend this event?*

Yes
No

How much?

How will youth who can't afford this cost be able to participate?

Are you trying to find additional sources of money for this activity?*

Yes
No

Please list additional sources.

If you do not receive this grant, will this project take place? Please explain.*

Which of the 10 Northfield Promise Benchmarks will this project promote? (Please list SPECIFIC benchmarks**. A link to all benchmarks is below text box.)*

**The Northfield Healthy Community Initiative (HCI) is fully committed to the work and goals of Northfield Promise. In recognition of this commitment, all Investing in Youth Grant projects/events MUST be working towards one or more of the Northfield Promise Benchmarks.

HIGH PRIORITY - Is the project designed and/or led by youth?*

Yes
No

Explain . . .

Does the project take place after school, in the evenings, on weekends, and/or during school breaks?*

Yes
No

Explain . . .

Does the project involve meeting over multiple sessions (more than a one-time event)?*

Yes
No

Explain . . .

Will you be able to ask youth who take part in the event/activity to complete a short survey at the end of the event/activity?*

Yes
No

Funding for projects and events is provided, in part, through grant funds HCI receives. As a result, HCI must collect evaluation information from all youth participating in these events.

Explain . . .

Please list any in-kind contributions for this project (anything that individuals or groups are donating to make this project successful - materials, space, time, money, etc.)*

In addition to giving grant money, are there other ways that HCI can be helpful to you and your project? If yes, tell us how!

Applications must be received by the 8th of the month to be reviewed at that month's HCI Board Meeting. The HCI board meets on the third Wednesday of each month, and you should hear about the funding decision shortly after the meeting!

Northfield HCI