Award Application - The Hawley Foundation

All applications must be received by MARCH 1st of the current year.

Award and Denial Notifications will be sent by APRIL 1ST.

Award Checks will be distributed in May. Details will be included in award letter.

Fields marked with a are required to submit the award application.

Organization Information

Organization Name:

Address:

City:

State:

Zip Code:

Website:

Contact Information

President/Executive Director:

Phone Number:

Email Address:

Contact Person (if different):

Title:

Phone Number:

Email Address:

Proposal Request

Program/Project Name:

Total Program Budget:

Requested Amount:

Percent of Total Budget:

Short description of the SPECIFIC use for requested funds (please do not describe the mission of your organization):

Program/Project period dates:

Is this a multiyear program?
YesNo

Geographic area to be served:

Number of children in Saratoga County to be served by this request:

Please indicate how your request fits within the Hawley Foundation’s strategic interests:

Most recent awards received from the Hawley Foundation:

Amount (1):

Amount (2):

Amount (3):

Date (1):

Date (2):

Date (3):

Please list other money sources contacted for this year:

Other Organization Information

501 (c)(3)
YesNo

Mission Statement of Organization:

Total No. of Board Members:

Total No. of Staff:

Total No. of Volunteers:

Total Organization Budget:

Fiscal Year (From):

Fiscal Year (To):

Brief Description of Organization:

Population served (include ages of children):

Proposal Documentation

If you do not have these available or would rather email them to us directly, please email us at info@hawleyfoundation.org after submitting your application and include your organization name and contact information.

Full Proposal Narrative:

Proposal Summary:

Copy of Agency IRS tax-exemption letter or copy of 501 (c) (3) form:

Recent financial statement (including breakdown of current income sources by percentage):

Annual operating budget:

Most recent tax return: