Charlotte Grant Registration

SCC Charlotte 2023 Grant Application

Thank you for your interest in Speedway Children’s Charities regarding funding for your project. It is our pleasure to offer you the 2023 Charlotte Speedway Children’s Charities 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 30, 2023.

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 Charlotte chapter director Taylor Kirby 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*

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 people served annually by organization*

Total number of children served annually by 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:*

Critical (food/clothing/shelter)

Medical (illness/disability/therapy)

Educational

Social

Number of children be 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)*

Please limit your response to 500 characters.

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

Please limit your response to 500 characters.

* Indicates a required field.

SCC Charlotte 2023 Grant Application

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