The Encinitas Fund Application - Coastal Community Foundation

Organization Information
Organization Name
Organization Phone
Address
Street Address Address Line 2 City State ZIP Code
Contact Person
Title
Email
Total Organization Budget
# FT Staff
# PT Staff
# Volunteers
# of Board Members
% of Board Members who financially support the organization
Provide a brief history of your organization and its mission.
Program or Project Information
Please complete all sections and stay within the word limits specified.
Project Title
Project Budget
Amount Requested
Please indicate which area best fits this project/program:
- Animals
- Arts & Culture
- Community Projects
- Education
- Environment
- Health & Wellness
- Social Services
- Sports & Recreatio
Project/program timeline, including begin date and end date:
Timeline Item Start Date End Date
1) Describe your project, service or program and the program goals
2) Please identify the targeted population and estimated number of people being served by this project/program.
3) How will the program / project benefit Encinitas?
4. Project Budget a. Please list your entire project/program budget. For which budget items are you requesting support from the Encinitas Fund?
Expense/Item Description Amount Amount Requested from Encinitas Fund
4. Project Budget b. What other sources of income to you have for the project/program? (Foundation grants, individual donations, event income, etc.)
Phone
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Expense/Item Description	Amount	Amount Requested from Encinitas Fund

Timeline Item	Start Date	End Date

Organization Information