BCF Common Grant Application October 2025

1. Grant applications for all funds are due to the Barry Community Foundation by 5:00 p.m., and the due dates may vary.
2. All Applications must demonstrate how they meet at least one healthy community element.

Barry Community Foundations
Attn: Grants
231 S. Broadway Hastings MI 49085

Phone: 269-945-0526
Email: duska@barrycf.org

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Date of Application Date of Application / MM / DD YYYY
Federal EIN#
The Legal name of the organization applying: (Use the same name as submitted on IRS form 990)
Year Founded Year Founded / MM / DD YYYY
Current Operating Budget
Lead Paid Staff Person & Title (If none, skip to Contact person)
Contact Person (if different than above) Contact Person (if different than above) First Last
Address of Organization Address of Organization
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Preferred Phone Contact Preferred Phone Contact - ### - ### ####
Secondary Contact Number Secondary Contact Number - ### - ### ####
List previous support from BCF or its funds in the last five years
Project or Program Name
In one sentence, what is the purpose of grant?
What are the goals of the project?
What need will be fulfilled or what inspired the program/project?
What results do you expect to produce?
What is the impact or benefit of this?
How will you evaluate the outcome?
Describe the sustainability of the project or program?
What other forms of funding did you receive or are applying for?
Date(s) of the project
Total Project Cost
Grant Amount Requested
Number of people served?
Geographic Areas Served (Check all that apply)

Geographic Areas Served (Check all that apply) Countywide City of Hastings Village of Freeport Village of Middleville Village of Nashville Village of Woodland Assyria Township Baltimore Township Barry Township Carlton Township Castleton Township Hastings Charter Township Hope Township Irving Township Johnstown Township Maple Grove Township Orangeville Township Prairieville Township Rutland Charter Township Thornapple Township Woodland Township Other Other
Which element(s) of a healthy community were impacted by your project?

Which element(s) of a healthy community were impacted by your project? Arts & Culture Basic Needs Economy Education Environment Health Neighborhoods Other Other
Please check the PRIMARY element of a healthy community that your organization works to address.

Please check the PRIMARY element of a healthy community that your organization works to address. Provides broad access to arts and culture. A thriving community promotes various recreational, historical, and cultural opportunities. Meets the basic needs of residents. A thriving community fosters a compassionate social, economic, and political environment where individuals have ample opportunities to fulfill their basic needs, build assets, and advance themselves. Ensures a vibrant and diversified economy. A thriving community promotes a diverse, dynamic, and innovative economy, fostering strong businesses and vibrant business districts and generating sufficient employment and income for residents. Creates quality education opportunities for all ages. A healthy community fosters new ideas and provides residents with high-quality education and lifelong learning. Protects and stewards the natural environment. A healthy community helps preserve and sustain the environment. Promotes health and wellness. A healthy community ensures access to high-quality health services at personal, community, and systemic levels and promotes a healthy lifestyle. Fosters strong and connected neighborhoods and communities. A healthy community ensures equal opportunity for all individuals to participate in and influence decisions that affect their lives, embracing diversity and promoting a sense of community. Other Other
In one or two sentences, tell us about your work and how it addresses the healthy community element you selected:
Overall Organizational Budget
REVENUE $ Dollars . Cents
Overall Organizational Budget
EXPENSES $ Dollars . Cents
Project or Program Budget INCOME
DONATIONS or FUNDRAISING $ Dollars . Cents
Project or Program Budget INCOME
IN-KIND SUPPORT $ Dollars . Cents
Project or Program Budget INCOME
IN-KIND SUPPORT $ Dollars . Cents
TOTAL INCOME $ Dollars . Cents
Expenses
SUPPLIES $ Dollars . Cents
Expenses
STAFF TIME $ Dollars . Cents
Expenses
SHIPPING $ Dollars . Cents
TOTAL EXPENSE $ Dollars . Cents
Checkboxes

Checkboxes If the grant is awarded, you agree to publicize the Foundation and applicable affiliates (TAEF, DKEF, YAC, etc.) in any media If the grant is awarded, you agree to return any unused funds to the Barry Community Foundation within 12 months If the grant is awarded, you also agree to submit a grant report form within 12 months. If a grant report is not received you may not be eligible for future funding If the grant is awarded, you agree to publicize the Foundation and applicable affiliates (TAEF, DKEF, YAC, etc.) in any media I understand if there are any questions staff may reach out for clarification If the grant is awarded, funds provided by the Barry Community Foundation, including interest earned will be accounted for separately by your organization and will be used only for the purposes specified in your request
Signature, Chairperson, Board of Directors

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Full Name

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