Foundation Application For Funding

We welcome your application for funding to support qualified community development initiatives in the Okefenoke REMC service area. Please review the Foundation Guidelines before completing your application. Along with this completed application, you must also upload and submit:

1. Project Brief based on the following Application Information & Questions:

Give a brief overview of your organization.
Describe in detail the proposed program or project that your organization is requesting funding for including:

an outline of estimated costs associated with project to support the dollar amount you are requesting
who will benefit from this program/project and how it will impact the community
the goals and objectives of the program or project? Specifics in how you will measure success.
what geographic areas will your program or project serve and how many people will be impacted

Describe any community and/or volunteer support of your program/project that you have already received or anticipate you will receive.
Describe your timeline for accomplishing the goals and objectives of your program/project.
Please list other organizations that have already or that you anticipate will support the program/project including specific amounts donated. (Please include volunteer and in-kind donations.)

2. IRS 501(c)(3) letter

3. List of Board of Directors

4. Budget and cash flow statements for the current year

Organizational Information

Date of Application *

Legal Name of Organization *

Address *

Contact Person/Job Title *

Phone (with area code) *

Email Address *

Website *

Any additional counties you may serve: *

Request for Funding

Amount of Request *

Program Name *

List all other funding sources for this request. Include name of funding organization, amount and whether the dollars are approved/committed/projected or pending for each source. *

Project Brief (as outlined above) *

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IRS 501(c)(3) letter *

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List of Board of Directors *

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Budget, Balance Sheet and Income Statement the current year *

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Grantee Report and results (if recipient of a previous OREMC Foundation grant)

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References

Please provide three (3) references including Business name/Contact/Phone/Address *

You must agree to Terms and Conditions: *

I have read and understood the terms and conditions associated with my application for funding from the Okefenoke Rural Electric Membership Corporation Foundation.

Please Specify

Signature *

The information contained in this application is for the purpose of obtaining funding from the Okefenoke Electric Membership Corporation Foundation, Inc., on behalf of the undersigned who attests the information provided is true and complete. Okefenoke Electric Membership Corporation Foundation, Inc., is authorized to make all inquiries it deems necessary to verify accuracy of the statements contained herein.

Because of budget limitations and foundation bylaws, Okefenoke Rural Electric Membership Corporation Foundation, Inc. will not consider the following:

Individuals
Churches and religious organizations; however, requests for church-affiliated programs will be considered when there is a direct community impact involved and relates to one of the eligible funding areas.
Public & private schools and preschools. (Foundations and other organizations may apply for projects within public, private or preschools. No direct applications will be accepted from public, private or preschools.)
Lobbying groups/political campaigns or organizations
For profit organizations

It is the sole responsibility of the applicant to meet the requirements listed in this application. Neither Okefenoke Rural Electric Membership Corporation Foundation, Inc., or Okefenoke REMC is responsible for notifying an applicant if requirements are not met or if an application is incomplete.