B'nai Havurah Tikkun Olam Grant Request Form

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General Information for Requests to the B’nai Havurah Tikkun Olam Grant Program

Purpose: To fund Tikkun Olam activities sponsored by or involving B’nai Havurah members. The funds are made possible by $9/year (half shekel) contributions from B'nai Havurah members and young adults who are bar/bat mitzvahs, as well as other contributions. The Tikkun Olam Committee has the responsibility of allocating monies to activities that contribute to the "healing of the world" and are consistent with the Mission and Values Statements of B'nai Havurah (see Appendix 1). The Tikkun Olam Committee awards these monies through grants approved by its Grants Subcommittee.

Form: The grant request below may be completed by either the sponsoring B'nai Havurah member or by a representative of the organization.

Requests should be brief and informative. Grant requests will be accepted at any time. Every effort will be made by the subcommittee to respond to each request within a two week period.

Requests for Tikkun Olam Grants are limited to no more than $500.

Criteria: Applications will be evaluated for inclusivity, cost effectiveness, level of benefit to - and participation by - the B’nai Havurah community, the Jewish community and the community as a whole.

The Subcommittee will review all requests and make decisions based on the above criteria.
Reasons for denial will be provided to all whose grant requests are not funded. Applications not receiving funds may be revised and resubmitted.

Deadline for Use of Funds Awarded: Funds granted by the Grants Subcommittee must be used no later than one year from the date they are provided to the grantee. Any requests for exceptions should be submitted to the sub-committee.

Date

Name of B’nai Havurah sponsor:

Email address of B'nai Havurah sponsor:

Name, phone number, and email address of grant applicant agency or individual:

Name and address of individual or entity to receive funds by check, if different from above.

Based on the Grant Form Instructions and General Information, please describe how this grant will answer the following questions.

Brief Project Summary:

I. What is the primary goal of the proposed project?

II. How will this goal be accomplished? Include when and where the proposed project will occur and who or what will be impacted by it.

III. How will the funds be used and managed? Who will be responsible for managing the funds? Will additional funds from other sources be required? If so, how and when will these additional funds be obtained?

IV. How will B’nai Havurah benefit? These benefits should also be documented in the required report at the completion of the project.

V. B’nai Havurah defines tikkun olam as: “repairing the world through social action. We are obliged to help alleviate hunger, homelessness, disease, ignorance, abuse, and oppression among all people. In addition, we have a responsibility to preserve the health of the global ecosystem upon which all life depends.” Please describe how the proposed project would advance tikkun olam:

VI. B'nai Havurah funds grant requests for a maximum of $500. How much funding are you requesting? Please provide a budget detailing how you plan to expend the monies.

VII. Please describe the opportunities for interested members of B’nai Havurah to participate in or contribute to this project. How will you inform B’nai Havurah members about these opportunities?

VIII. Write or attach a brief description of any organization(s) for which this funding request is made.

IX. Is there any additional information you would like us to have?

By submitting this application, the grant recipient agrees to submit a final report describing project achievements.

The Tikkun Grants committee will determine reporting dates.

When you have completed this form, please click on submit, below.

Thank you for submitting your proposal!

Confirmation will be sent to:

Fri, March 31 2023 9 Nisan 5783