Fox Development Corporation

Mini-Grant Application

Applications are accepted year-round, as funding is available. Applications are accepted on-line or by printing and filling out a Micro-Grants form. All required attachments must be emailed or mailed for full consideration. You will be notified within six weeks of approval or denial or if additional information or a site visit is required. No phone calls please.

For more detailed information, including eligibility requirements, please return to the Grant Application Details.

Amount Requested (<$5,000)*
Name of Organization*
Brief Description of Request*
Project/Program Timeline*
Select Appropriate Category*
Lead Contact*
Title*
Organization Address*	*Must be in Champaign County
Telephone*
Email Address*
Website Address
Number of Full-Time Staff*
Number of Part-Time Staff*
Total Organization Budget*	*For the current fiscal year
Current Fiscal Year*
Mission Statement*
Population Served*
Do you have 501(c)(3) status?*
If yes, list tax ID number
If no, list your fiscal agent
Do you have a strategic plan?*
Summary of Purpose Request*	*Summarize the purpose of your request, describing the change that will result due to an FDC grant. Be as detailed as possible in describing goals and outcomes. List other key players and their roles and the timeline of your project.
How will you measure success?*
Other Sources of Funding*	*Please list other sources of funding you are pursuing to support this request.
Total Cost*	*Program, event, equipment, etc.
Organization's Contribution*
Past Support*	*Please list all support, with amounts and the projects they were for, you have recieved from FDC in the last 3 years.

Additional Documentation:

Please send as separate attachments via email:
1. Itemized budget by Major Line Item (i.e. laptop computer, printer, etc.)
2. List of the organization's board of directors.

Be sure all documents clearly list your organization's name and contact information.

Or, mail required supporting documents to:
Fox Development Corporation
Giving Back
1909 Fox Drive
Champaign, IL 61820