BAILEY S TEAM for AUTISM 164 Westside Avenue, North Attleborough, MA *

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1 BAILEY S TEAM for AUTISM 164 Westside Avenue, North Attleborough, MA * sammirobertson@comcast.net Funding Allocation Guidelines Submission Criteria All requests must be specifically and primarily in support of people with autism and or their families Other individuals with disabilities may also benefit from Bailey s Team funding; however, if we fund an agency that serves the special needs community not specific to individuals with autism, than we may ask that funds be specifically allocated to serve people with autism - to individuals, programs or equipment serving people with autism. Allocations to fit into one (1) or more of the criteria developed: Research Education & training Family support and resources Programming and recreation Who will benefit from said programs? Individuals with autism (children and or adults), Parents and other family members of individuals with autism Educators and or other service people who support individuals living with ASD and their families [first responders, respite providers, etc]. All submissions will be reviewed by Board of Directors for final vote to fund project request in part or in total. Reporting required at completion of funded program (see information attached) * * * Applications accepted from August 1 st to October 15 th Funding decisions will be made at our January Board Meeting* with funds to be paid to award recipient(s) by March 1 st. *If additional information is required, proposals will be reconsidered at our April Board meeting with funds to be paid no later than June 1 st. Revised 9/14

2 Funding Request Submitted by: Organization: Address: City, State, Zip: BAILEY S TEAM for AUTISM Funding Allocation Submission Form Phone: Bailey s Team Board Member Project Liaison (If applicable): Have you applied for a Bailey s Team grant before and if so when and for what project: Year: Amount Requested: Amount Received: Project: Year: Amount Requested: Amount Received: Project: Year: Amount Requested: Amount Received: Project: Area of focus (please check all that apply): Research Education & training Family support and resources Programming and recreation Who will benefit from program (please check all that apply): Child with autism (age 0 3) Parents & other family members of a Child with autism (age 4 11) person with autism Young adult with autism (age 12 22) Educators & other service people who Adult with autism age 22+ support individuals with autism Describe your organization (200 word maximum):

3 Mission statement: Activity/program to be funded (executive summary 500 word maximum):

4 Amount requested: Budget narrative for how funds will be allocated (Use Budget Form Attached) Statement of work: (plan for project execution):

5 How will your audience (participants) benefit from your program: Timeline narrative: Intended outcomes and how will they be measured:

6 All award recipients are required to submit a report no later than September 1 st of the following calendar year; and all final reports are due within 60 days of project completion. (Report requirements will be forwarded at the time the grant is awarded.) *Please note that Bailey s Team may follow up as necessary to obtain information pertaining to program(s) funded. Please submit all requests and correspondence via to: Amy Tonkonogy, Funding Coordinator at amy_tonkonogy@wgbh.org and to Sammi Robertson, President at sammirobertson@comcast.net. We also ask that you send one full hard copy to: BAILEY S TEAM for AUTISM Attn: Amy Tonkonogy, Funding Coordinator 164 Westside Avenue North Attleborough, MA Revised 9/14

Do not edit or delete any questions from this application. Doing so will result in immediate disqualification of your request.

Do not edit or delete any questions from this application. Doing so will result in immediate disqualification of your request. AIDS Walk of Oklahoma City, Inc. Request for Proposal (RFP) 2018 Proposal Application (for funding year 2019) Deadline: October 31, 2018 NOT VALID AFTER OCTOBER 31, 2018 General instructions can be downloaded