3.2. BPACSR 10-16-2023 - Laserfiche WebLink

Home Browse Search

Updated 6/2/2020 9 CMAB Evaluative Data The following questions help CMAB determine the reach of our programs and the equity in our grant making. • How did you learn about this program? • Proposal Name • Proposal Summary – Restate the proposal name and provide a one or two sentence description. • Start Date – Activities described in the grant proposal must begin AFTER the board review date. • End Date – Project completion date. Must occur within 12 months of the Board review date. • Applicant Ethnicity - Select the one code that best represents 50% or more of the staff, board or membership. N = American Indian/Native American; A = Asian; P = Native Hawaiian/Pacific Islander; B = Black/African American; H = Hispanic/Latino; M = Middle Eastern/North African; W = White; 99 = when no single group; O = Other; 98 = Data not provided • Applicant Groups- Select the one code that best represents 50% or more of the staff, board or membership: I = Individuals with Disabilities; S = Adults older than Sixty; V = Military Veterans; 99 = None of the above; 98 = Data not provided • Street Address – Enter the street address (No P.O. Box), City and Zip Code where the organization is located. • County – Select the county where the organization is located. • Additional Information (optional) - Data collection questions do not always provide options to accurately describe the racial or ethnic identity of applicants and the groups they serve. If there is additional information you would like to provide about the race or ethnicity of the groups served by the project, include that information here. CERTIFICATION 26) FEDERAL 501(c)(3) NON-PROFIT STATUS LETTER - All non-profit organizations must attach their 501(c)(3) letter to this application. If you are using a fiscal agent, submit their 501(c)(3) letter. Does not apply to public schools. 27) ELECTRONIC SIGNATURE You must certify that your board of directors/advisory committee supports this application, that it is accurate and that the project will be carried out as described if funded