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What grants have you written in the past 3 years or longer?
#
Year of
Sub-
mission
Name of Organization
you Submitted the
Grant on Behalf of, and
its Location
(e.g. New York School District,
New York, NY)
Funder
(e.g. Dept. of
Education)
Grant Program Name as
Designated by the Funder
(e.g. 21st
Century Community
Learning Centers)
Amount of Grant
Request or Award
(If grant spans more than a one-
year period, please provide the
total amount
requested/awarded)
Status
(Awarded, declined,
pending: provide date
expected)
1.
2013
Ronald McDonald House
Charities of Arkansas, Little
Rock, AR
Cardinal Health
Foundation
Essential to Wellness Grant Program $15,000 Pending – Spring 2013
2.
2013
Ronald McDonald House
Charities of Arkansas, Little
Rock, AR
Arkansas Community
Foundation
Giving Tree Grants $20,000 Pending-Spring 2013
3.
2012 Easter Seals Arkansas, Little
Rock, AR
Windgate Charitable
Foundation
General Grant Process $100,000 Awarded
4.
2012 Easter Seals Arkansas, Little
Rock, AR
J.E. and L.E. Mabee
Foundation
General Grant Process $250,000 Awarded
5. 2012
Easter Seals Arkansas, Little
Rock, AR
Marion and Miriam
Rose Fund
Human Services $100,000 Declined
6. 2012
Easter Seals Arkansas, Little
Rock, AR
Riggs Benevolent
Fund
General Grant Process $30,000 Awarded
7. 2012
Easter Seals Arkansas, Little
Rock, AR
Willard and Pat
Walker Charitable
Foundation
General Grant Process $500,000 Declined
8. 2011
Easter Seals Arkansas, Little
Rock, AR
Roy and Christine
Sturgis Foundation
General Grant Process $250,000 Declined
9. 2011
Easter Seals Arkansas, Little
Rock, AR
Horace C Cabe
Foundation
General Grant Process $250,000 Declined
10.
2010-
Shelby Residential &
Vocational Services,
City of Memphis Community Improvement Program
Funds
$1,000,000 Awarded
Grant History & Contact Form
Page 1 of 3
2011
Memphis, TN
11.
2009-
2010
Shelby Residential &
Vocational Services,
Memphis, TN
State of
Tennessee/Tennesse
e Housing
Development Agency
Neighborhood Stabilization Program $1,000,000+ Awarded
12.
2008
Shelby Residential &
Vocational Services,
Memphis, TN
Community
Foundation of
Greater Memphis
Non-profit Capacity Building Grant $20,000 match Awarded
13. 2007
Shelby Residential &
Vocational Services,
Memphis, TN
Harrah’s Community Grant $10,000 Awarded
14. 2007
Shelby Residential &
Vocational Services,
Memphis, TN
City of Memphis Community Services Grant $89,700 Awarded
15.
2007
The Med Foundation
/Hollywood Health Loop
Clinic (through Center for
Non-profit Excellence),
Memphis, TN
March of Dimes Chapter Community Grants $10,000 Awarded
16. 2007
Three Rivers, Inc and
Tennessee Network of
Community Organizations,
Nashville, TN
Corporation for
National and
Community Service
Americorp State and National
Programs
$150,000 Declined
17. 2006
Shelby Residential &
Vocational Services,
Memphis, TN
Harrah’s Community Grant $10,000 Awarded
18. 2006
Shelby Residential &
Vocational Services,
Memphis, TN
State of Tennessee
Department of
Transportation
Elderly and Persons with Disabilities
Transit Grants
$50,000 Awarded
19.
2006
The Med Foundation
/Hollywood Health Loop
Clinic (through Center for
Non-profit Excellence),
Memphis, TN
March of Dimes Chapter Community Grants $10,000 Awarded
20.
2006
Shelby Residential &
Vocational Services,
Memphis, TN
Plough Foundation General Grant Process $150,000 Awarded
Grant History & Contact Form
Page 2 of 3
21. 2006
Shelby Residential &
Vocational Services,
Memphis, TN
Cummins Foundation Community Grant Program $25,000 Awarded
22. 2006
Shelby Residential &
Vocational Services,
Memphis, TN
State of Tennessee
Department of
Transportation
Elderly and Persons with Disabilities
Transit Grants
$56,853 Awarded
23.
2005
Shelby Residential &
Vocational Services,
Memphis, TN
BlueCross BlueShield
of Tennessee
General Grant Process $200,000 Awarded
24. 2005
Shelby Residential &
Vocational Services,
Memphis, TN
Max Ostner
Foundation
General Grant Process $10,000 Awarded
25. 2005
Shelby Residential &
Vocational Services,
Memphis, TN
Madonna Circle Community Grants $5,000 Awarded
26. 2005
Shelby Residential &
Vocational Services,
Memphis, TN
Duration Club Community Grants $5,823 Awarded
27. 2005
Shelby Residential &
Vocational Services,
Memphis, TN
City of Memphis Community Services Grant $36,580 Awarded
28. 2005
Shelby Residential &
Vocational Services,
Memphis, TN
City of Memphis Tenant-Based Rental Assistance grants 45 vouchers Awarded
29. 2005
Shelby Residential &
Vocational Services,
Memphis, TN
City of Memphis Human Services Grant $22,500 Awarded
30.
2004-
2005
Shelby Residential &
Vocational Services,
Memphis, TN
City of Memphis HOME Match $250,000 Awarded
Grant History & Contact Form
Page 3 of 3

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Past Grant Writing Experience & Contact Form

  • 1. What grants have you written in the past 3 years or longer? # Year of Sub- mission Name of Organization you Submitted the Grant on Behalf of, and its Location (e.g. New York School District, New York, NY) Funder (e.g. Dept. of Education) Grant Program Name as Designated by the Funder (e.g. 21st Century Community Learning Centers) Amount of Grant Request or Award (If grant spans more than a one- year period, please provide the total amount requested/awarded) Status (Awarded, declined, pending: provide date expected) 1. 2013 Ronald McDonald House Charities of Arkansas, Little Rock, AR Cardinal Health Foundation Essential to Wellness Grant Program $15,000 Pending – Spring 2013 2. 2013 Ronald McDonald House Charities of Arkansas, Little Rock, AR Arkansas Community Foundation Giving Tree Grants $20,000 Pending-Spring 2013 3. 2012 Easter Seals Arkansas, Little Rock, AR Windgate Charitable Foundation General Grant Process $100,000 Awarded 4. 2012 Easter Seals Arkansas, Little Rock, AR J.E. and L.E. Mabee Foundation General Grant Process $250,000 Awarded 5. 2012 Easter Seals Arkansas, Little Rock, AR Marion and Miriam Rose Fund Human Services $100,000 Declined 6. 2012 Easter Seals Arkansas, Little Rock, AR Riggs Benevolent Fund General Grant Process $30,000 Awarded 7. 2012 Easter Seals Arkansas, Little Rock, AR Willard and Pat Walker Charitable Foundation General Grant Process $500,000 Declined 8. 2011 Easter Seals Arkansas, Little Rock, AR Roy and Christine Sturgis Foundation General Grant Process $250,000 Declined 9. 2011 Easter Seals Arkansas, Little Rock, AR Horace C Cabe Foundation General Grant Process $250,000 Declined 10. 2010- Shelby Residential & Vocational Services, City of Memphis Community Improvement Program Funds $1,000,000 Awarded Grant History & Contact Form Page 1 of 3
  • 2. 2011 Memphis, TN 11. 2009- 2010 Shelby Residential & Vocational Services, Memphis, TN State of Tennessee/Tennesse e Housing Development Agency Neighborhood Stabilization Program $1,000,000+ Awarded 12. 2008 Shelby Residential & Vocational Services, Memphis, TN Community Foundation of Greater Memphis Non-profit Capacity Building Grant $20,000 match Awarded 13. 2007 Shelby Residential & Vocational Services, Memphis, TN Harrah’s Community Grant $10,000 Awarded 14. 2007 Shelby Residential & Vocational Services, Memphis, TN City of Memphis Community Services Grant $89,700 Awarded 15. 2007 The Med Foundation /Hollywood Health Loop Clinic (through Center for Non-profit Excellence), Memphis, TN March of Dimes Chapter Community Grants $10,000 Awarded 16. 2007 Three Rivers, Inc and Tennessee Network of Community Organizations, Nashville, TN Corporation for National and Community Service Americorp State and National Programs $150,000 Declined 17. 2006 Shelby Residential & Vocational Services, Memphis, TN Harrah’s Community Grant $10,000 Awarded 18. 2006 Shelby Residential & Vocational Services, Memphis, TN State of Tennessee Department of Transportation Elderly and Persons with Disabilities Transit Grants $50,000 Awarded 19. 2006 The Med Foundation /Hollywood Health Loop Clinic (through Center for Non-profit Excellence), Memphis, TN March of Dimes Chapter Community Grants $10,000 Awarded 20. 2006 Shelby Residential & Vocational Services, Memphis, TN Plough Foundation General Grant Process $150,000 Awarded Grant History & Contact Form Page 2 of 3
  • 3. 21. 2006 Shelby Residential & Vocational Services, Memphis, TN Cummins Foundation Community Grant Program $25,000 Awarded 22. 2006 Shelby Residential & Vocational Services, Memphis, TN State of Tennessee Department of Transportation Elderly and Persons with Disabilities Transit Grants $56,853 Awarded 23. 2005 Shelby Residential & Vocational Services, Memphis, TN BlueCross BlueShield of Tennessee General Grant Process $200,000 Awarded 24. 2005 Shelby Residential & Vocational Services, Memphis, TN Max Ostner Foundation General Grant Process $10,000 Awarded 25. 2005 Shelby Residential & Vocational Services, Memphis, TN Madonna Circle Community Grants $5,000 Awarded 26. 2005 Shelby Residential & Vocational Services, Memphis, TN Duration Club Community Grants $5,823 Awarded 27. 2005 Shelby Residential & Vocational Services, Memphis, TN City of Memphis Community Services Grant $36,580 Awarded 28. 2005 Shelby Residential & Vocational Services, Memphis, TN City of Memphis Tenant-Based Rental Assistance grants 45 vouchers Awarded 29. 2005 Shelby Residential & Vocational Services, Memphis, TN City of Memphis Human Services Grant $22,500 Awarded 30. 2004- 2005 Shelby Residential & Vocational Services, Memphis, TN City of Memphis HOME Match $250,000 Awarded Grant History & Contact Form Page 3 of 3