Charitable Foundation Matching Grant Application Please read the guidelines for submitting a grant application here. Lodge Name and #* District #* Lodge Secretary:* If you are not the Master or Secretary - please provide your name here NOTE: All checks will be mailed to the address on file for the LODGE SECRETARY Phone*(please provide a phone number in case there are any questions on this grant application) Email:*(once submitted, a copy of this application will be sent to the email address provided) Application for:*Lodges can now apply for up to $3,000 in matching funds per category. Total matching funds available to each Lodge per year under all categories combined is $7,000. Community Betterment Grant Bikes for Books Project Graduation Activities Grant Youth Activities Grant Seniors Matching Grant Total Number of Masons involved:*Please provide your best estimate (for example: 1 for person submitting the application + # of Masons actually involved in a fundraising event (cooking a meal, serving a meal) and/or # of Masons putting bikes together / delivering bikes)Volunteer hours by Masons:*Please provide your best estimate (for example, 3 Masons preparing/serving breakfast for one hour = 3 hours + 4 Masons selling tickets for breakfast, each for 1.5 hours = 6 hours + 1/2 hour for completing this application = Grand total of 11.5 hours). Total number of non-Masons-involved:*Please provide your best estimate (for example: Bikes for Books should include teachers and administrative staff involved or for Project Graduation the parents and students involved in an event).Volunteer hours by non-Masons:*Please provide your best estimate. This information is used to understand the size of a project and/or community involvement outside the Lodge.How much will the total project cost?*For example, if the project is a new roof for the town library then enter $40,000. If a Bikes for Books grant, enter the total costs for bikes (helmets are handled separately). If contributing to a local food pantry then use the estimated annual budget to run the food pantry. This field should be the total cost of the project not just what the Lodge is providing. Attach a breakdown of costs if applicable. Of the total project cost, what amount is the lodge providing*Do not include the amount of the matching funds, the amount above should just be what the Lodge is contributing. For example, if a Bikes for Books grant, then typically the Lodge portion would be 1/3 of the total of the cost of the bikes (helmets are handled separately) as long as the total cost < $4,500.Enter amount ($) of matching funds requested*Matching funds are available $2 for every $1 contributed by a Lodge. Typically this field should be 2 x the amount the Lodge is providing (up to $3,000 per category per Lodge in any given year).Name of entity/school(s) to receive/benefit from this grant Please include the name of the recipient organization, if Bikes for Books then include the school or schools where the bikes will be awarded.If this is a Bikes for Books grant, how many helmets will be purchased?The Foundation will contribute up to an additional $10 per helmet requested, not to exceed the number of purchased bikes.Does your Lodge have its share of funds currently available?* Yes No Has this application been approved by the Master of the Lodge* Yes No Include the Master's name and telephone number* When will the project start?* When will the project finish?* Description of Project/Activity:*Please write a brief description of the project, including what community need this project/activity addresses and how it will benefit the community:Write or attach a breakdown of project costs:*Supporting Documents Drop files here or Select files Accepted file types: txt, rtf, doc, docx, pdf, png, jpg, jpeg, Max. file size: 2 MB. Upload any supporting information to go along with your application. Accepted file formats (txt,rtf,doc,docx,pdf,png,jpg,jpeg)EmailThis field is for validation purposes and should be left unchanged.