SCC Bristol Grant Application

Thank you for your interest in Speedway Children’s Charities 2024 Grant Cycle. It is our pleasure to offer you the 2024 Speedway Children’s Charities Bristol Grant Application. Please be aware that all applicants must complete the online application form below.

This grant application must be completed and received no later than midnight on June 14, 2024.

Organizations whose applications are accepted will be contacted via email and asked to submit additional application information, including financial documents and proof of non-profit status. Only organizations who complete both phases of the application process will be considered for funding.

If you have any questions, please contact SCC Bristol, Betsy Holleman at [email protected].

Program Contact Person's Name*

Program Contact Person's Title*

Legal Name of Organization*

Address*

Apt, Suite, etc. (Optional)

City*

State*

Zip*

Phone*

Email*

Executive Director’s Name*

Executive Director’s Phone Number*

Executive Director’s Email

Tax Identification Number*

Date 501(c)3 status was granted by the IRS*

Provide a brief description of the applicant organization. Include scope of services, programs, priorities, and plans. (500 characters max)*

Please limit your response to 500 characters.

Total Number of children served by your organization

Purpose of Program (Eight words or less…NOT the Program name)*

Grant Amount Requested*

Is your organization a past SCC grant recipient?*

Yes

Type of grant that best describes your program we will be funding:*

Number of children served by the Program*

Geographic Areas Served (List each county and/or state):*

Provide a description of the proposed Program, including the Program goals. (500 characters max)*

Please limit your response to 500 characters.

If your project is long term, please explain your plans for funding the Program (grants, state or federal support, fundraisers, etc.). (500 characters max)*

Provide a summary of the qualifications of the individuals who will be responsible for implementing the Program. (500 characters max)*

Did your organization volunteer with SCC in 2023, or scheduled to volunteer in 2024?*

If yes, list the events:

If not, why not?

* Indicates a required field

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