Important Reminders:
APPLICATION DEADLINE: Friday, September 9, 2022
Applications must include:
PLEASE NOTE: The word count for some fields are limited to 300 words or less.
Date:
Organization:
Name & Title:
Office Phone:
Cell Phone:
Email:
Physical Address:
Mailing Address:
Social Media Links:
Amount Requested $:
Does organization currently offer intervention?
-- Select -- Yes No
Name of Specific Intervention Program:
Previously Received Grants from Riverside County:
If so, Indicate the Year and Exact Amount:
In the last year that you were awarded money, how was that money spent?
Year the intervention program was started:
Current Annual Operating Budget $:
The target audience for this program:
Age Range of Program's Participants:
Number of Participants Assisted:
Program Summary:
Word count is limited to 300 words or less. The text fields will not automatically limit the writer but the reviewers will not consider anything longer than a page or 300 words.
Detail how your program combats drug abuse and/or divert gang activity:
Specify how the requested funds will be spent on the intervention program:
Will this grant allow you to expand the program?
If Yes, how many additional participants are expected to receive services? Describe your plans for expansion.
Do you receive direct referrals from a government agency?
If Yes, from what agencies do you receive direct referrals?
If No, how do school-age children get into your program?
Is your program limited to at-risk youth?
If no, please describe all the types of groups your agency serves.
Do you charge children or their families for the services you provide?
I declare under penalty of perjury that the information provided in this application is true and accurate and that any funds received from the program will be used for the requested purpose.
By selecting the "I Agree" check box, you are signing this application electronically and you agree your electronic signature is the legal equivalent of your manual signature.”