Important Points  Must be for Physical Rehabilitation  Cannot be for more than $10,000  Recipients must be a 501 (c) (3) organization or have a fiscal sponsor  Will need your EIN/Tax ID Number on the initial application page early in the process.

Common Mistakes  Make sure you spell and grammar check.  Make sure your budget numbers add up.  Save, print out, and have someone review the document before submission.  Be thorough in your narratives.

Elks Mission  Review the following websites     Understand our mission and how it might relate to your organization and the rehabilitation project you are applying for.

Application Process  Go to:    Complete the application  Submit the application by Noon August 31, 2015  Awards will be publically announced in early November

Application Details

WARNING MAKE SURE YOU SAVE YOUR DOCUMENT FREQUENTLY

Organization and Contact Information  Organization Information  Organization Name:  Street Address:  City, State, Postal code:  Organization  Organization website URL:  Project Manager Contact Information  Project manager name:  Project manager phone number:  Project manager address:  Board of Director’s name:  Board of Director’s phone number:  Board of Director’s address:  Organization Tax Identification number:

Project Information  What is the name of the grant project?  Amount Requested*  A Community Rehab Grant request may be between $1,000 and $10,000. How much money are you requesting for this grant? $$  Is your organization a 501 (c) (3) as designated by the IRS?  No __X______ Yes ________  If your organization is a 501 (c) (3), please scan and insert your IRS tax determination letter.

Fiscal Sponsor Information  If your organization does not have 501 (c) (3) designation, do you have a fiscal sponsor?  No ___________  Yes ___________  If you do have a fiscal sponsor, then please provide the following information: Fiscal sponsor's name, tax identification number, physical address and the address of their main contact.  Sponsor’s Name:  Tax ID  Address  Address  If you have a fiscal sponsor, please insert below their IRS tax determination letter here.

Abstract  Must be 200 words or less  Describe the project and how it benefits people with a physical disability in your local community,  Save your Document

Community Needs  Identify the community need this project will address and how your organization determined the need for the project. Include objective data if available.  Did you discuss this project with Idaho Elks Rehab or local Elks leadership in your area?  No ______________  We have no local Elks Lodge in our community. _________  Yes ______________  Did you discuss this project with other groups, organizations and individuals in your community?  No ________  We plan to complete the project ourselves. _________  Yes ________

Physical Disability Question  Does your project improve the functional ability of people with a physical disability in your community and help them be more active and independent?  Grant requests for projects that do not focus on improving the functional ability of people with a physical disability will be denied. Please contact the Administrator of Idaho Elks Rehab if you have questions about this grant requirement.  No ___________  Yes ____________