Strategic Grant Application | Fond du Lac Area Women's Fund

2025 Strategic Grant Application

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General Information

2025 Strategic Grant Application – Deadline: February 1, 2025 Strategic Grants are meant to be three-year agreements whereby at least two collaborating agencies seek to address a larger issue confronting women and/or girls in Fond du Lac County. The proposed total amount of the grant for the 2025-27 cycle is $15,000. The FDL Area Women’s Fund foresees this as allocations of up to $5,000 each year to be utilized in 2025, 2026, and 2027.

Today's Date*

Fiscal Agent Organization Name*

Legal Name

Address*

Street Address PO Box (if applicable) City State ZIP Code

Grant Contact Person*

First Last Title

(Note: Does not need to be same person signing the application.)

Phone*

Email*

Year Agency Established*

Mission Statement*

Current Services/Programs*

Brief description of the core services/programs your organization offers to its clients. (750-character maximum)

Total Number of Agency Clients Served Annually*

Number of Full-Time Equivalent Employees*

Number of Volunteers Directly Associated with Program/Project to be Funded*

Electronic Signature*

First Last Title

By submitting your name, you attest that the information contained in this application is complete and accurate. (Must be signed by supervisory staff member or Board of Directors’ president/chairperson of the organization’s governing body.) Note: The Strategic Grant is to be solely dispersed to the fiscal agent grantee organization. The fiscal agent grantee organization may choose to change collaborating organizations throughout the duration of the grant so long as the fiscal agent grantee organization ensures the following: 1. Notice is provided to the Fond du Lac Area Women’s Fund prior to making the change; 2. The nature of the service is not substantially altered; and 3. The new collaborating organization(s) is no less qualified than the previous collaborating organization(s) to administer the program.

Collaborating Organization's Name*

Legal Name

Collaborating Organization's Address*

Street Address PO Box (if applicable) City State ZIP Code

Grant Contact Person at Collaborating Organization*

First Last Title

(Note: Does not need to be same person signing the application.)

Phone of Collaborating Organization's Main Contact*

Email of Collaborating Organization's Main Contact*

Year Agency Established*

Mission Statement of Collaborating Organization*

Current Services/Programs*

Brief description of the core services/programs the collaborating organization offers to its clients. (750-character maximum)

Total Number of Agency Clients Served Annually at Collaborating Organization*

Number of Full-Time Equivalent Employees at Collaborating Organization*

Number of Volunteers Directly Associated With Program/Project to be Funded*

Electronic Signature*

First Last Title

Grant Details

Name of Project/Program to be Funded*

Project Summary*

Statement of Need*

(One to two paragraphs explaining the “why” of your project)

Project Activity*

(The “what” and “how” of your project)

Focus/Funding Priorities*

Economic Self-Suffiency: Helping women and girls meet their basic needs, and gain the resources and knowledge to be secure

Education: Helping women and girls recognize their abilities and fulfill their dreams

Health and Well-Being: Helping women and girls grow strong in body and mind to reach their full potential

Leadership Development: Helping women and girls identify, develop and utilize their leadership skills

Safety, Dignity, and Freedom from Violence: Helping women and girls live safely, and cultivate self-respect and self-esteem

(Please check all that apply.)

Year 1 Goal*

Year 1 Goal Intended Objective(s)*

Objective is defined as: The method you plan to use to achieve your goal. What steps will you take to meet the goal?

Year 1 Goal Intended Outcome*

Outcome is defined as: The measurable success that occurs. Be sure not only to identify the outcome, but also address what strategies/methods will be used to evaluate the success of your project/program? And who will be involved in evaluating your project/program success?

Year 2 Goal*

Year 2 Goal Intended Objective(s)*

Year 2 Goal Intended Outcome*

Year 3 Goal*

Year 3 Goal Intended Objective(s)*

Year 3 Goal Intended Outcome*

Target Population

Please answer the following questions as to what population(s) your program/project will benefit annually.

Over the course of the 3-year project, what is the anticipated total number of unduplicated female-identifying individuals to be served directly by your project/program annually?*

Over the course of the 3-year project, what is the anticipated total number of unduplicated male-identifying individuals to be served directly by your project/program annually?*

Over the course of the 3-year project, what is the anticipated total number of unduplicated gender non-conforming individuals to be served directly by your project/program annually?*

Over the course of the 3-year project/program how many female-identifying individuals will make up the program/project total served indirectly?*

Breakdown of direct female-identifying individuals served by age over the 3-year project/program? (This total should match the number in Year 3 Goal)

Please use the following age breakdowns to describe how many women and/or girls you anticipate serving annually through your program/project: Number of Girls infant to 11 years old; Number of Girls 12 to 17 years; Number of Women 18 to 24 years; Number of Women 25 to 39 years; Number of Women 40 to 54 years; Number of Women 55 and older.

Breakdown of women/girls served by race/ethnicity?

Please use the following race/ethnicity categories to describe how many women and/or girls you anticipate serving annually through your program/project: American Indian/Native American; Asian or Pacific Islander; Black/African American; Hispanic/Latina; White/Caucasian; Multiracial; Unknown.

Breakdown by percentage of direct female-identifying individuals served by socioeconomic standpoint?*

Please use the 2024 WI Department of Health Services Guidelines to frame your answer. https://www.dhs.wisconsin.gov/medicaid/fpl.htm

Where is your program/project offered?*

Some programs/projects operate out of multiple locations. Please identify the primary location address of your program/project and any satellite locations, if applicable.

Please tell us how you will collaborate with the FDL Area Women’s Fund on this project/program.*

You may take this information directly from your letter of intent.

Required Attachments

Please upload the following attachments to complete your application.

Program/Project Budget (Outline how you plan to spend the funds you are asking for.)*

Max. file size: 50 MB.

Most Recent Past Fiscal Year Profit & Loss Statement of Fiscal Agent Organization*

Max. file size: 50 MB.

IRS 501(c)3 Letter of Determination of Fiscal Agent Organization*

Max. file size: 50 MB.

List of Current Board of Directors of the Fiscal Agent Organization and Collaborating Organization(s)*

Max. file size: 50 MB.

Final Review*

Yes, I’m ready to submit!

Note: Once you have submitted your application, no further changes can be made to your application.