Apply

We are pleased to share the 2020 Gala theme of “Hope and Healing.” Three non-profits in the greater Bangor region will be honored with a grant of $15,000 in recognition of their work in the community.

Eligibility to Apply: The selection committee will accept applications from 501(c)3 organizations doing vital work in the areas of healthcare, hospice, mental health and wellness.

Instructions: Please complete the form below with all appropriate attachments. The selection committee may follow up with further questions.

Deadline: Submissions will be accepted until Friday, September 27, 2019 at 5pm. Applicants will be notified of a decision by October 15, 2019.

Non-Profit Recipient Application

Organization Name*
Website*
Contact Name*
First Last
Title*
Phone*
Contact Email*
Organization Mission Statement*
Describe your organization's major program areas (1500 characters)*
Total Budget for Current Fiscal Year*
Number of Individuals Served Annually*
Number of FTEs*
Number of Active Volunteers*
Primary Municipalities in Your Service Area*
If awarded, what project or program will the $15,000 be used for? (1500 characters)*
Describe the impact this grant will have on your work in the community. What measurable results do you anticipate? (2000 characters)*
Describe your organization's capacity to contribute to a successful Gala event. Will you be able to assist with fundraising, marketing, and event planning? (1500 characters)*
Board of Directors*
Please attach a list of current board members and their professional affiliations (PDF only).
Non-Profit Status
Please attach a copy of your IRS non-profit status determination letter (PDF only).
Name
This field is for validation purposes and should be left unchanged.

Non-Profit Recipient Application

Reception Sponsor