Date of Application:                                                                                                 Amount Requested:
# Individuals to Be Served/Impacted through this grant request:
Name of Organization:                                                                                            Date Organized:
Address:
Executive Director:                                                                                                 Phone Number:
Name and Title of Contact Person:                                                                         Phone Number:
Tax Status:   (     )Charitable Organization 501-C3    (     )Other - Please Specify___________________________
Major goals, purpose and mission of the organization:

Project for which funds are requested (Give purpose, objectives, and timeframe)  (Maximum points 30):

Who will be served by the project and how does service to this population address the priorities established by the Board?  (Maximum points 30):

List any eligibility requirements:

What are other sources of financial aid for the project? (List other funding sources, including grants with amount applied for and annual fundraising drives with anticipated outcomes.):

Does your organization receive Federal or other government funding?  No____ Yes - Please Specify __________________________________

A report including information on the number of persons served, dollars spent, and specific outcomes shall be submitted no later than 12 months after receipt of funds.  (Pictures are appreciated).  I agree: ____________

How will the project continue beyond this grant period (include amount and source of funds)? (Maximum points 20):

Have you received prior grants from the Foundation?  How is this project different from those previously funded by the Foundation?  (Maximum 20 points):

Submitted by:                                                                                                       Received:
            Name:                                                                                                               Initials:
            Title:                                                                                                                 Acknowledged:  
                                                                                                                                      Initials: 

Revised February 2018

​​Altrusa International of Tampa
Wilma B. Hogan Foundation, Inc.
P.O. Box 46396
Tampa, Florida 33646

​email completed application to:  WBHFoundationTampa@gmail.com

Altrusa International of Tampa Bay, FL, Inc.

© Copyright. All Rights Reserved

Grant Application

The Mission of the Altrusa International of Tampa Bay, FL - Wilma B Hogan Foundation, Inc. is to provide funds for service to organizations or individuals in support of programs and/or projects that fulfill the community needs.  Altrusa International of Tampa Bay established the Wilma B Hogan Foundation, Inc. in 1999 honoring one of its members, Wilma B 'Billie' Hogan.  The foundation was made possible by Billie's generous bequest to the club to further its program of service to the community and club members' desires to continue and expand areas of service.  In accordance with Ms. Hogan’s intentions, the Foundation Board of Directors wishes to have the greatest impact on the community and its citizens. Therefore, priority shall be given to projects/programs that address new challenges and to seed programs, projects, and services with the intention that there is a plan and funding to ensure continuation beyond the grant period. The Board has established the following priorities:  programs that serve and support women; literacy; veteran’s services; programs for disadvantaged individuals and services to children. 

Applications will be reviewed four (4) times per year.  Organizations are eligible for grants once within a twelve month period.  One original and one electronic copy shall be submitted.  An original application with signature should be mailed to P.O. Box 46396, Tampa, Florida 33646 AND an electronic copy sent to WBHFoundationTampa@gmail.com.  Application deadlines and funding decision dates are as follows:
 
                                       Application Submission                                  Funding Decisions
                                            February 15                                                   March 31
                                            May 15                                                           June 30
                                            August 15                                                       September 30
                                            November 15                                                 December 31


Applications will be reviewed and scored by the Foundation Board of Directors on a maximum 100 point scale.  The points scored for each response is included in the application.  Organizations are encouraged to be specific in their response.