NEIGHBORHOOD IMPLEMENTATION GRANT APPLICATION
Preview Form
This is an example of the application questions with which you will be presented. It is recommended that you compose the answers to the paragraph questions in a word processing program and then cut and paste that text into the online application.
Contact Information
*Salutation
(Text)(100 character maximum)
Instructions:
  • Enter the contact person's salutation (Mr., Ms., Mrs., Dr., etc.)
  • *First Name
    (Text)(40 character maximum)
    Instructions:
    *Last Name
    (Text)(40 character maximum)
    Instructions:
    *Title
    (Text)(50 character maximum)
    Instructions:
    *Address
    (Text)(100 character maximum)
    Instructions:
    *City
    (Text)(50 character maximum)
    Instructions:
    *State
    (Single-Select List)
    • (Not Applicable)
    • Alabama
    • Alaska
    • American Samoa
    • Arizona
    • Arkansas
    • Armed Forces Africa/Canada/Europe/Middle East
    • Armed Forces Americas (except Canada)
    • Armed Forces Pacific
    • California
    • Colorado
    • Connecticut
    • Delaware
    • District of Columbia
    • Federated States of Micronesia
    • Florida
    • Georgia
    • Guam
    • Hawaii
    • Idaho
    • Illinois
    • Indiana
    • Iowa
    • Kansas
    • Kentucky
    • Louisiana
    • Maine
    • Marshall Islands
    • Maryland
    • Massachusetts
    • Michigan
    • Minnesota
    • Mississippi
    • Missouri
    • Montana
    • Nebraska
    • Nevada
    • New Hampshire
    • New Jersey
    • New Mexico
    • New York
    • North Carolina
    • North Dakota
    • Northern Mariana Islands
    • Ohio
    • Oklahoma
    • Oregon
    • Palau
    • Pennsylvania
    • Puerto Rico
    • Rhode Island
    • South Carolina
    • South Dakota
    • Tennessee
    • Texas
    • Utah
    • Vermont
    • Virgin Islands
    • Virginia
    • Washington
    • West Virginia
    • Wisconsin
    • Wyoming
    Instructions:
    *ZIP Code
    (Text)(20 character maximum)
    Instructions:
    *E-mail Address
    (Text)(100 character maximum)
    Instructions:
    *Telephone
    (Text)(30 character maximum)
    Instructions:
    Extension
    (Text)(500 character maximum)
    Instructions:
    Cell Phone
    (Text)(500 character maximum)
    Instructions:
    Organization Information
    Official Name
    (Text)(100 character maximum)
    Instructions:
  • Name associated with specific tax ID in the IRS business master file or name associated with school/school district in NCES data
  • *Legal Name
    (Text)(100 character maximum)
    Instructions:
  • What is the legal name of your organization?
  • AKA Name
    (Text)(100 character maximum)
    Instructions:
  • If your organization is known by another name please enter the name here.
  • *Address
    (Text)(100 character maximum)
    Instructions:
    *City
    (Text)(50 character maximum)
    Instructions:
    *State
    (Single-Select List)
    • (Not Applicable)
    • Alabama
    • Alaska
    • American Samoa
    • Arizona
    • Arkansas
    • Armed Forces Africa/Canada/Europe/Middle East
    • Armed Forces Americas (except Canada)
    • Armed Forces Pacific
    • California
    • Colorado
    • Connecticut
    • Delaware
    • District of Columbia
    • Federated States of Micronesia
    • Florida
    • Georgia
    • Guam
    • Hawaii
    • Idaho
    • Illinois
    • Indiana
    • Iowa
    • Kansas
    • Kentucky
    • Louisiana
    • Maine
    • Marshall Islands
    • Maryland
    • Massachusetts
    • Michigan
    • Minnesota
    • Mississippi
    • Missouri
    • Montana
    • Nebraska
    • Nevada
    • New Hampshire
    • New Jersey
    • New Mexico
    • New York
    • North Carolina
    • North Dakota
    • Northern Mariana Islands
    • Ohio
    • Oklahoma
    • Oregon
    • Palau
    • Pennsylvania
    • Puerto Rico
    • Rhode Island
    • South Carolina
    • South Dakota
    • Tennessee
    • Texas
    • Utah
    • Vermont
    • Virgin Islands
    • Virginia
    • Washington
    • West Virginia
    • Wisconsin
    • Wyoming
    Instructions:
    *ZIP Code
    (Text)(20 character maximum)
    Instructions:
    *Organization’s Main Phone Number
    (Text)(30 character maximum)
    Instructions:
    *Organization’s Website Address
    (Text)(100 character maximum)
    Instructions:
    *Year Organization was Established
    (Number)(4 character maximum)
    Instructions:
  • 4 digit maximum
  • *Mission Statement
    (Paragraph)(500 character maximum)
    Instructions:
  • Provide a very brief mission statement for your organization.
  • *Executive Director/Lead Officer
    (Text)(100 character maximum)
    Instructions:
  • Enter the name and title of the organization's Executive Director or lead officer.
  • *Email address for Executive Director/Lead Officer
    (Text)(100 character maximum)
    Instructions:
    Project Overview
    *Project Title
    (Text)(255 character maximum)
    Instructions:
  • Provide the name of your project (e.g., ABC Neighborhood Revitalization Plan); 25 characters maximum.
  • *Target Neighborhood
    (Text)(255 character maximum)
    Instructions:
  • Provide the name of the neighborhood targeted for this project. 25 characters maximum.
  • *Requested Time Frame
    (Number)(15 character maximum)
    Instructions:
  • Requested length of grant period (months). Foundation Implementation grants are usually funded over 60 months.
  • *Project Description
    (Paragraph)(2000 character maximum)
    Instructions:
  • Briefly summarize the proposed implementation project and identify the priority issues areas that were identified in the planning process. Be sure to define the most pressing community needs and describe how this project will address them.
  • *Current Progress
    (Long Paragraph)(32500 character maximum)
    Instructions:
  • Please briefly describe your progress to date in implementing the neighborhood plan.
  • *Project Success Factors
    (Paragraph)(2000 character maximum)
    Instructions:
  • What aspects of the project will enhance the chances of the project's success?
  • *Project Weaknesses
    (Paragraph)(2000 character maximum)
    Instructions:
  • What are the project's greatest weaknesses/obstacles to success? How will you overcome these obstacles?
  • *Project Sustainability
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe how this project will become sustainable after the grant period. What additional resources will it take to sustain the project over time?
  • *Project Dissemination and Replication
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe your plans to disseminate lessons learned and share with other entities in the community development system. How does this project lend itself to be a replicable model? How will this project be replicated? Is it already a replication of an existing model? If so, please describe.
  • Neighborhood Plan Implementation Budget
    Instructions:
    *Requested Grant Amount
    (Currency)(20 character maximum)
    Instructions:
  • Enter (in U.S. dollars) the request to the Wells Fargo Regional Foundation over five years.
  • *Overall Neighborhood Plan Implementation Budget
    (Currency)(20 character maximum)
    Instructions:
  • What is the total cost of Implementing the Neighborhood Plan? (Capital + Non-Capital) This amount should be the same amount as what is in the budget section of the plan. It should also agree with the total amount on the attachment required at the end of this application called “Overall Plan Implementation Budget”.
  • *Capital Expenses
    (Currency)(20 character maximum)
    Instructions:
  • What is the total cost of all capital expenses outlined in the neighborhood plan (e.g. physical development costs, bricks and mortar, etc.)?
  • *Non-Capital Expenses
    (Currency)(20 character maximum)
    Instructions:
  • What is the total cost of all non-capital expenses outlined in the neighborhood plan (e.g. programs and services)?
  • *Use of Funds
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe your specific use for the requested grant funds. Please note: the Foundation only funds direct programmatic expenses and does not support capital or general operating costs. Direct program expenses may include staff salaries for those overseeing the plan’s implementation and any new or expanded programs. The Foundation also allows for 15% overhead within the maximum grant amount of $750,000.
  • *Other Resources
    (Paragraph)(2000 character maximum)
    Instructions:
  • List other funding sources (Public and Private) and the respective amounts for each funding source. Note whether the "other" funds are pending or committed.
  • *Project Partners
    (Paragraph)(2000 character maximum)
    Instructions:
  • Has the organization developed partnerships with other organizations, agencies, and resident groups for the project? If not, please explain. If yes, please list the key relationships and describe how the organization is managing these partnerships.
  • Milestones and Deliverables
    Instructions:
    *Project Outcomes
    (Paragraph)(2000 character maximum)
    Instructions:
  • Provide the key, projected measurable outcomes to result from this project.
  • *Community Impact
    (Paragraph)(2000 character maximum)
    Instructions:
  • Briefly explain the overall, ultimate impact the project will have on the community. What will neighborhood change look like?
  • *Short Term Outcomes
    (Paragraph)(2000 character maximum)
    Instructions:
  • What do you anticipate to be the short-term outcomes? Describe the anticipated results in years 1 through 3.
  • *Intermediate Term Outcomes
    (Paragraph)(2000 character maximum)
    Instructions:
  • What do you anticipate to be the intermediate term outcomes? Describe the anticipated results in years 3 through 5.
  • *Long Term Outcomes
    (Paragraph)(2000 character maximum)
    Instructions:
  • What do you anticipate to be the longer-term outcomes? Describe the anticipated results in years 5 through 10.
  • Milestones and Outputs Grid
    (No input required)
    Instructions:
  • At the end of the application, you will be asked to submit a more detailed chart called the Milestones and Outputs Grid.
  • Organizational Details
    *Organization Background
    (Paragraph)(2000 character maximum)
    Instructions:
  • Briefly describe your organization’s history. Summarize how your organization implements its mission, noting your core competencies and identifying signature programs and/or services.
  • *Non-discrimination
    (Yes/No)
    Instructions:
  • Does your organization discriminate on the basis of race, ethnicity, color, gender, national origin, religion, age, sexual orientation, gender identity, genetic information, physical or mental disability, pregnancy, marital status, status as a protected veteran or any other status protected by federal, state or local law?
  • *Full-Time Employees
    (Number)(15 character maximum)
    Instructions:
  • Number of Full-Time Employees
  • *Part-Time Employees
    (Number)(15 character maximum)
    Instructions:
  • Number of Part-Time Employees
  • *Consultants
    (Yes/No)
    Instructions:
  • Do you work with consultants?
  • *Organization's Programs
    (Paragraph)(2000 character maximum)
    Instructions:
  • Provide a brief outline of the organization's programs, and track record of accomplishments and successful projects completed.
  • *Organization's Niche
    (Paragraph)(2000 character maximum)
    Instructions:
  • What is the organization's role or niche in serving its community?
  • *Governance Structure
    (Paragraph)(2000 character maximum)
    Instructions:
  • Briefly describe your governance structure including: the number of directors serving; the composition of your board (e.g., backgrounds, titles, experience); as well as the committee structure for your board (number and types of committees, frequency of meetings, etc.).
  • *Board Relationship
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe the Board's working relationship with the staff, its level of engagement and involvement, and its level of advocacy for the organization.
  • *Staff Leadership
    (Paragraph)(2000 character maximum)
    Instructions:
  • List and briefly describe your organization's top 3 leaders, their titles, brief bios, and their tenure with the organization.
  • *Management Structure
    (Paragraph)(2000 character maximum)
    Instructions:
  • Briefly describe your organization’s management structure and how managers will be involved in this plan implementation project.
  • *Management Depth
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe the depth of management in your organization.
  • *Management Strengths
    (Paragraph)(2000 character maximum)
    Instructions:
  • List and describe the top three strengths of the management of the organization.
  • *Management Areas for Improvement
    (Paragraph)(2000 character maximum)
    Instructions:
  • List and describe the top three areas of improvement for management of the organization.
  • *Succession Planning
    (Paragraph)(2000 character maximum)
    Instructions:
  • What is the status of succession planning for your organization?
  • *Strategic Planning
    (Paragraph)(2000 character maximum)
    Instructions:
  • When was the last time the organization completed a strategic planning process? Where is the organization now in the process? How does this implementation project align with your organization’s strategic plan?
  • *Developmental Stage
    (Single-Select List)
    • Start-Up
    • Emerging
    • Growing
    • Mature
    Instructions:
  • Please check the category which best describes the development stage of the organization.
  • *Describe Developmental Stage
    (Paragraph)(2000 character maximum)
    Instructions:
  • Explain why you chose the developmental stage listed in the previous question.
  • *Organizational Challenges
    (Paragraph)(2000 character maximum)
    Instructions:
  • What are the greatest challenges your organization faces in its current stage of development, and how do these challenges affect its ability to deliver services and programs?
  • *Operating Revenue
    (Currency)(20 character maximum)
    Instructions:
  • Enter your total operating revenue at the end of the most recent fiscal year.
  • *Operating Expenses
    (Currency)(20 character maximum)
    Instructions:
  • Enter your total operating expenses at the end of the most recent fiscal year.
  • *Financial Health
    (Single-Select List)
    • Exceptional
    • Strong
    • Acceptable
    • Weak
    • Insolvent
    Instructions:
  • Check which adjective best describes the financial health of your organization
  • *Financial Health Detail
    (Paragraph)(2000 character maximum)
    Instructions:
  • Provide a more detailed description explaining the financial health of your organization based on the category you selected in the previous question and per the information provided in your audited statements. What is the average cash on hand for the last three years? Discuss any deficits that may have occurred in the past three fiscals years. Explain the strength of your balance sheet. Have you received a clean audit opinion for the last three years? Do you have an operating reserve? (NOTE: Three years of financial audited statements must be provided to be eligible for funding.)
  • *Cash On Hand
    (Currency)(15 character maximum)
    Instructions:
  • What is the average cash on hand for the last three years?
  • *Operating Reserve
    (Currency)(20 character maximum)
    Instructions:
  • Please enter amount of the organization's operating reserve. If no operating reserve, enter 0.
  • *Deficits
    (Paragraph)(2000 character maximum)
    Instructions:
  • Has the organization had any deficits in the past three years? If so, indicate how much and please discuss.
  • *Balance Sheet
    (Paragraph)(2000 character maximum)
    Instructions:
  • Explain the strength of the organization's balance sheet.
  • *Auditor's Opinions
    (Paragraph)(2000 character maximum)
    Instructions:
  • Has the organization received an unqualified opinion in the past three audited reports? (Yes/No) If not, please explain why and describe the steps taken to address any issues. (Note: Three years of audited statements must be provided to be eligible for funding.)
  • *Funding Strategy
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe the organization's fundraising strategy.
  • *Funding Sources
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe the organization's primary funding sources.
  • *Funding Trends
    (Paragraph)(2000 character maximum)
    Instructions:
  • If the organization's funding has declined, please explain why. If the organization's funding has increased, please explain why.
  • *Best Practices
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe how your organization stays abreast of best practices in community and economic development. How does your organization use best practices in the field to inform your operations, programs and services?
  • *Performance-Based Grants
    (Paragraph)(2000 character maximum)
    Instructions:
  • What is the organization's experience with performance-based grants?
  • *Evaluation Experience
    (Paragraph)(2000 character maximum)
    Instructions:
  • What is the organization’s experience in evaluating neighborhood initiatives and revitalization projects?
  • *Information Management Systems
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe your organization’s information management system.
  • *Organizational Self-Assessment
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe how and how often your organization assesses itself.
  • *Resident Satisfaction Survey
    (Paragraph)(2000 character maximum)
    Instructions:
  • Briefly describe the results of the Resident Satisfaction Survey. How are you using the results to inform the implementation project?
  • *Physical Parcel Level Survey
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe how you used and/or continue to use the results from the physical property survey to inform your implementation project. Did you complete a second survey at the end of the grant period? Briefly describe the results of the second survey in comparison to the baseline survey. How are you using the results to inform the implementation project?
  • *WFRF Funding
    (Yes/No)
    Instructions:
  • Has your organization been supported in the past by the Wells Fargo Regional Foundation?
  • Prior WFRF Funding
    (Paragraph)(2000 character maximum)
    Instructions:
  • Briefly describe the history of your relationship with the Wells Fargo Regional Foundation, including previous grant support (with dates).
  • Collaboratives
    For the purpose of this application, a collaborative is where several (more than one) organizations act as sub-grantees to the lead organization and receive funding through the Foundation's grant funds. Please

    Click here to download an example that defines collaboratives.

    *Collaborative Lead Organization
    (Yes/No)
    Instructions:
  • Are you applying as the lead organization within a collaborative? If no, skip to Neighborhood Overview section. If yes, please review the Wells Fargo Regional Foundation’s requirements for a collaborative and answer the following collaborative questions. (See Collaborative Document attached.)
  • Prior Collaborative Experience
    (Paragraph)(2000 character maximum)
    Instructions:
  • What prior experience does your organization have working within a collaborative? Pleased describe your experience managing sub-grantees, your organization’s relevant collaborative experience and your organization’s capacity to oversee subgrantees.
  • Collaborative Partners
    (Paragraph)(2000 character maximum)
    Instructions:
  • Are the collaborative partners the same as those listed in the Project Partners question above in the Project Overview section? If yes, skip to the next question. If not, please list the collaborative partners here and describe how your organization is (and will be) managing these partnerships.
  • Collaborative Partners Capacity
    (Paragraph)(2000 character maximum)
    Instructions:
  • How have you assessed your partners’ organizational capacity (i.e. financial, leadership, management, etc.) to perform in this project?
  • Collaborative Partners’ Roles
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe the roles and unique strengths of the collaborative partners in the proposed project. How will the neighborhood benefit from a collaborative approach to implementation?
  • Collaborative Leadership
    (Paragraph)(2000 character maximum)
    Instructions:
  • Please provide the bios of the leaders of your collaborative organizations. How have you secured buy-in from your collaborative partners’ key leaders (Board and Executive Leadership) for this implementation project? How will your collaborative partner leaders be engaged and held accountable throughout the term of the implementation grant?
  • Collaborative Funding
    (Paragraph)(2000 character maximum)
    Instructions:
  • How will the requested Wells Fargo Regional Foundation funds be shared among the collaborative partners and for what purposes?
  • Collaborative Partner Investment
    (Paragraph)(2000 character maximum)
    Instructions:
  • Are the collaborating partners targeting funding from their own budget(s) to support the implementation project? Please describe what (if any) additional funding will be contributed to the project from your collaborating partners and for what purposes. You may also include in-kind resources contributed by partners.
  • Neighborhood and Area Data
    *Neighborhood Size
    (Number)(15 character maximum)
    Instructions:
  • How many square miles is the target neighborhood?
  • *Neighborhood Population Size
    (Number)(15 character maximum)
    Instructions:
  • How many people live within the target neighborhood?
  • *Neighborhood City/Municipality
    (Text)(255 character maximum)
    Instructions:
  • In what city or municipality does the target neighborhood reside?
  • *Neighborhood County
    (Text)(255 character maximum)
    Instructions:
  • In what county does the target neighborhood reside?
  • *Neighborhood Borders
    (Paragraph)(2000 character maximum)
    Instructions:
  • What are the streets that border the target neighborhood?
  • *Neighborhood Census Tracts
    (Paragraph)(2000 character maximum)
    Instructions:
  • What are the primary census tracts for the target neighborhood?
  • *Neighborhood Setting
    (Single-Select List)
    • Large Urban
    • Small Urban
    • Inner Ring Suburb
    • Outer-Ring Suburb
    • Rural
    Instructions:
  • Select the setting which best describes the neighborhood.
  • *Neighborhood Age Distribution
    (Percentage List)
    • Children (Birth - 17 years)
    • Young Adults (18-24 years)
    • Adults (25-64 years)
    • Senior Citizens (65 years+)
    • All Ages (only use if breakdown is unknown)
    Instructions:
  • What is the neighborhood’s age distribution? Enter whole numbers only. All values must total 100 percent.
  • *Neighborhood Ethnicity/Race
    (Percentage List)
    • American Indian/Alaskan Native (Race)
    • Asian (Race)
    • Black or African American (Race)
    • Hispanic or Latino (Ethnicity)
    • Native Hawaiian & Other Pacific Islander (Race)
    • Two or More Races
    • White (Race)
    Instructions:
  • What is the distribution of ethnicity and race in the neighborhood? All values must total 100 percent.
  • *Neighborhood Gender
    (Percentage List)
    • Men
    • Women
    Instructions:
  • What is the neighborhood’s gender distribution? Enter whole numbers only. All values must total 100 percent.
  • *Neighborhood Education
    (Percentage List)
    • College
    • Some College
    • High School
    • Less than High School
    Instructions:
  • What are the education levels of the residents?

    Enter whole numbers only. All values must total 100%.
  • *Data sources - Neighborhood
    (Paragraph)(2000 character maximum)
    Instructions:
  • Please cite the source(s) for the data you listed in the above three questions.
  • *Timeframe - Neigborhood
    (Text)(500 character maximum)
    Instructions:
  • Please note the timeframe for the referenced data (e.g., Census 2010, PolicyMap 2012, etc).
  • *Neighborhood Crime and Safety
    (Paragraph)(2000 character maximum)
    Instructions:
  • What are the crime and safety issues in the target neighborhood(s)?
  • *Police Department Relationship
    (Paragraph)(2000 character maximum)
    Instructions:
  • Do you have a relationship with the local Police Department? If so, please describe. Do you get any information from the Police Department? If so, what trends are you seeing?
  • *Crime Reduction Strategies
    (Paragraph)(2000 character maximum)
    Instructions:
  • Please describe any current or planned crime reduction strategies or programs.
  • Neighborhood Area Detail
    Instructions:
    *Neighborhood Poverty
    (Number)(15 character maximum)
    Instructions:
  • What percent of residents live in poverty?
  • *Neighborhood Median Income
    (Currency)(20 character maximum)
    Instructions:
  • What is the median household income for the neighborhood?
  • *Neighborhood Unemployment
    (Number)(15 character maximum)
    Instructions:
  • What is the neighborhood's average unemployment rate?
  • *Neighborhood Housing Vacancy Rate
    (Number)(15 character maximum)
    Instructions:
  • What is the neighborhood's housing vacancy rate?
  • *Neighborhood Owner Occupancy Rate
    (Number)(15 character maximum)
    Instructions:
  • What is the neighborhood's owner occupancy rate?
  • *Neighborhood Median Housing Price
    (Currency)(20 character maximum)
    Instructions:
  • What is the neighborhood's median housing price?
  • *Neighborhood Data Analysis
    (Paragraph)(2000 character maximum)
    Instructions:
  • Given all of the neighborhood data points provided, please describe which ones are the most critical and why, and how they can be addressed.
  • City Area Detail
    Instructions:
    *City Poverty
    (Number)(15 character maximum)
    Instructions:
  • What percent of city residents live in poverty?
  • *City Median Income
    (Currency)(20 character maximum)
    Instructions:
  • What is the median household income for the city?
  • *City Unemployment
    (Number)(15 character maximum)
    Instructions:
  • What is the city's average unemployment rate?
  • *City Housing Vacancy Rate
    (Number)(15 character maximum)
    Instructions:
  • What is the city's housing vacancy rate?
  • *City Owner Occupancy Rate
    (Number)(15 character maximum)
    Instructions:
  • What is the city's owner occupancy rate?
  • *City Median Housing Price
    (Currency)(20 character maximum)
    Instructions:
  • What is the city's median housing price?
  • Data sources - City
    (Paragraph)(2000 character maximum)
    Instructions:
  • Please cite the source(s) for the data you listed above.
  • Timeframe - City
    (Text)(500 character maximum)
    Instructions:
  • Please note the timeframe for the referenced data (e.g., Census 2010, PolicyMap 2012, etc).
  • County Area Detail
    Instructions:
    *County Poverty
    (Number)(15 character maximum)
    Instructions:
  • What percent of county residents live in poverty?
  • *County Median Income
    (Currency)(20 character maximum)
    Instructions:
  • What is the median household income for the county?
  • *County Unemployment
    (Number)(15 character maximum)
    Instructions:
  • What is the county's average unemployment rate?
  • *County Housing Vacancy Rate
    (Number)(15 character maximum)
    Instructions:
  • What is the county's housing vacancy rate?
  • *County Owner Occupancy Rate
    (Number)(15 character maximum)
    Instructions:
  • What is the county's owner occupancy rate?
  • *County Median Housing Price
    (Currency)(20 character maximum)
    Instructions:
  • What is the county's median housing price?
  • Data sources - County
    (Paragraph)(2000 character maximum)
    Instructions:
  • Please cite the source(s) for the data you listed above.
  • Timeframe - County
    (Text)(500 character maximum)
    Instructions:
  • Please note the timeframe for the referenced data (e.g., Census 2010, PolicyMap 2012, etc).
  • State Area Detail
    Instructions:
    *State Poverty
    (Number)(15 character maximum)
    Instructions:
  • What percent of state residents live in poverty?
  • *State Median Income
    (Currency)(20 character maximum)
    Instructions:
  • What is the median household income for the state?
  • *State Unemployment
    (Number)(15 character maximum)
    Instructions:
  • What is the state's average unemployment rate?
  • *State Housing Vacancy Rate
    (Number)(15 character maximum)
    Instructions:
  • What is the state's housing vacancy rate?
  • *State Owner Occupancy Rate
    (Number)(15 character maximum)
    Instructions:
  • What is the state's owner occupancy rate?
  • *State Median Housing Price
    (Currency)(20 character maximum)
    Instructions:
  • What is the state's median housing price?
  • Data sources - State
    (Paragraph)(2000 character maximum)
    Instructions:
  • Please cite the source(s) for the data you listed above.
  • *Timeframe - State
    (Text)(500 character maximum)
    Instructions:
  • Please note the timeframe for the referenced data (e.g., Census 2010, PolicyMap 2012, etc).
  • Neighborhood Assets
    Neighborhood Assets
    Instructions:
    *Resident Engagement
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe the residents of the target area in terms of their level of involvement in improving their own neighborhood and their level of community organizing and building.
  • *Housing Stock
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe the housing stock in the neighborhood. Please describe the conditions, types (i.e. row houses, etc.) and range of housing options (small/large, new/old, all the same/lots of variety).
  • *Affordable Housing Strategy
    (Paragraph)(2000 character maximum)
    Instructions:
  • If this is a priority need in the neighborhood, describe how this issue will be addressed in the implementation of the neighborhood plan.
  • *Housing Counseling Strategy
    (Paragraph)(2000 character maximum)
    Instructions:
  • What housing counseling and homeownership counseling services are available to residents and who is providing them?
  • *Employment Opportunities
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe the jobs, employment opportunities and workforce development programs within the target neighborhood.
  • *Job Development Strategy
    (Paragraph)(2000 character maximum)
    Instructions:
  • If this is a priority need in the neighborhood, describe how this issue will be addressed in the implementation of the neighborhood plan.
  • *Economic Development Projects
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe the neighborhood in terms of any significant community/economic development projects planned or underway that link to your proposed project.
  • *Economic Development Strategy
    (Paragraph)(2000 character maximum)
    Instructions:
  • If this is a priority need in the neighborhood, describe how this issue will be addressed in the implementation of the neighborhood plan.
  • *Transportation
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe the neighborhood in terms of transportation for low-income residents (i.e., is there adequate public transportation to reach jobs and services, etc?).
  • *Transportation Strategy
    (Paragraph)(2000 character maximum)
    Instructions:
  • If this is a priority need in the neighborhood, describe how this issue will be addressed in the implementation of the neighborhood plan.
  • *Healthcare
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe the local hospital/health system and how it is serving the community.
  • *Healthcare Strategy
    (Paragraph)(2000 character maximum)
    Instructions:
  • If this is a priority need in the neighborhood, describe how this issue will be addressed in the implementation of the neighborhood plan.
  • *Education System
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe the education system and resources in the neighborhood.
  • *Education Strategy
    (Paragraph)(2000 character maximum)
    Instructions:
  • If this is a priority need in the neighborhood, describe how this issue will be addressed in the implementation of the neighborhood plan.
  • *Social Services
    (Paragraph)(2000 character maximum)
    Instructions:
  • What social services (including childcare and after school programs) are available for the residents? Briefly describe the key programs and how well they serve the community.
  • *Social Services Strategy
    (Paragraph)(2000 character maximum)
    Instructions:
  • If this is a priority need in the neighborhood, describe how this issue will be addressed in the implementation of the neighborhood plan.
  • *Neighborhood Success Characteristics
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe any other neighborhood characteristics not already mentioned above that will help your project succeed.
  • Neighborhood Plan
    *Plan Year
    (Number)(15 character maximum)
    Instructions:
  • In what year was the neighborhood plan completed?
  • *Plan Duration
    (Text)(20 character maximum)
    Instructions:
  • What is the duration of the plan (enter years)? (example: 2016-2026)
  • *Plan Development
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe how the plan was created, including how it incorporated resident involvement.
  • *Resident Participation Level
    (Number)(15 character maximum)
    Instructions:
  • How many residents participated in the creation of the plan?
  • *Neighborhood Plan Leadership
    (Paragraph)(2000 character maximum)
    Instructions:
  • Who led the development of the neighborhood plan? If there was a Steering Committee, please describe the members (backgrounds, roles). If you used external consultants, please list the names of the lead consultants. If you used internal staff, please list their names and describe their planning backgrounds.
  • *Neighborhood Implementation Leadership
    (Paragraph)(2000 character maximum)
    Instructions:
  • Which organizations and individuals will lead the implementation of the plan?
  • *Resident Participation
    (Paragraph)(2000 character maximum)
    Instructions:
  • How will residents continue to be engaged in the implementation of the plan?
  • *Project Integration
    (Paragraph)(2000 character maximum)
    Instructions:
  • Describe how your neighborhood plan is aligned with your requested implementation plan, and how both plans fit into the organization’s overall strategic plan.
  • Required Attachments
    You are required to submit supplemental documents for this application.

    Electronic copies of these documents under 10MB can be attached to application by using the "Upload File" links below.

    Instructions to upload your electronic document to the online application:

    1. Click on the 'Upload File' link
    2. A File Upload window will appear, click the "Browse" button in order to select the file from its current location on your computer.
    3. Select the file from your computer and click the "Open" button.
    4. Click the "Upload File" button to attach your document to the application.
    5. Click the "Done" button to close the File Upload window.
    Please be sure that your file is smaller than 10MB.
    Resizing Instructions
    (No input required)
    Instructions:
  • If your file is too large, please click here for instructions on how to resize your file.
  • Required Attachments
    Instructions:
    *Attach: 3 Years of Audited Financials
    (File Upload)File Upload; 10485760 byte limit
    Instructions:
  • Annual audited financial statements (past three years). Please upload each year separately. Maximum file size is 10 MB; any file format is acceptable.
  • *Attach: Organizational Budget
    (File Upload)File Upload; 10485760 byte limit
    Instructions:
  • Organization's current detailed operating budget. Maximum file size is 10 MB any file format is acceptable.
  • *Attach: Officers/Directors
    (File Upload)File Upload; 1048576 byte limit
    Instructions:
  • List of officers and directors of the organization with affiliations. Maximum file size is 10 MB any file format is acceptable.
  • *Attach: Partner Chart
    (File Upload)File Upload; 10485760 byte limit
    Instructions:
  • Please list ALL of the partnerships the organization has developed with other organizations/agencies/resident groups for this project.

    Detailed Instructions:
    1. Click the link below to SAVE the Partner Chart template to your computer.

      Download the Partner Chart

    2. Complete the Partner Chart template, and save your changes.
    3. Click the 'Upload File' link to attach your document to this application.
    4. You will need to BROWSE to locate the file on your computer. Select your file and select the 'Open' button.
    5. Click on the 'Upload File' button.

    Maximum file size is 10 MB any file format is acceptable.
  • *Attach: Overall Neighborhood Plan Implementation Budget
    (File Upload)File Upload; 10485760 byte limit
    Instructions:
  • Detailed Instructions:
    1. Click the link below to SAVE the Implementation Budget template to your computer.

      Download the Overall Neighborhood Plan Implementation Budget Template

    2. Complete the Implementation Budget template and save your changes.
    3. Click the 'Upload File' link to attach your document to this application.
    4. You will need to BROWSE to locate the file on your computer. Select your file and select the 'Open' button.
    5. Click on the 'Upload File' button.

    Maximum file size is 10 MB, Excel(.xls) is the only file format is acceptable.
  • *Attach: Project Budget
    (File Upload)File Upload; 10485760 byte limit
    Instructions:
  • Detailed Instructions:
    1. Click the link below to SAVE the Project Budget template to your computer.

      Download the Project Budget Template

    2. Complete the Project Budget template and save your changes.
    3. Click the 'Upload File' link to attach your document to this application.
    4. You will need to BROWSE to locate the file on your computer. Select your file and select the 'Open' button.
    5. Click on the 'Upload File' button.

    Maximum file size is 10 MB any file format is acceptable.
  • *Attach: Project Milestones and Outputs
    (File Upload)File Upload; 10485760 byte limit
    Instructions:
  • Detailed Instructions:
    1. Click the link below to SAVE the Project Milestones and Outputs template to your computer.

      Download the Project Milestones and Outputs Template

    2. Complete the Project Milestones and Outputs template and save your changes. For each project component, please include key milestones and outputs.
    3. Click the 'Upload File' link to attach your document to this application.
    4. You will need to BROWSE to locate the file on your computer. Select your file and select the 'Open' button.
    5. Click on the 'Upload File' button.
    This spreadsheet will be used to keep track of the major milestones and outputs related to the grant request and key events that may impact the implementation of the neighborhood plan. Please make sure that they are as specific as possible. Milestones are considered significant, observable progress (e.g., acquisition of land, delivering curriculum, beginning construction, ending construction, opening centers, etc.). Outputs are quantifiable (e.g., serving 200 children per year, disseminating 10 programs, engaging 50% of residents, etc.). See sample below.
    Maximum file size is 10 MB.

    Click here to download an example.

  • *Attach: Key Locations
    (File Upload)File Upload; 10485760 byte limit
    Instructions:
  • Detailed Instructions:
    1. Click the link below to SAVE the Key Locations template to your computer.

      Download the Key Locations Template

    2. Complete the Key Locations template and save your changes.
    3. Click the 'Upload File' link to attach your document to this application.
    4. You will need to BROWSE to locate the file on your computer. Select your file and select the 'Open' button.
    5. Click on the 'Upload File' button.

    Maximum file size is 10 MB any file format is acceptable.
  • *Attach: Neighborhood Plan
    (File Upload)File Upload; 1048576 byte limit
    Instructions:
  • Current comprehensive neighborhood plan.
    Maximum file size is 10MB; any file format is acceptable.
  • *Attach: Letters of Support
    (File Upload)File Upload; 10485760 byte limit
    Instructions:
  • Attach up to ten letters of support from resident leaders, local elected officials and other key stakeholders/partners.
    Maximum file size is 10 MB; any file format is acceptable.
  • Collaborative Attachments
    (File Upload)File Upload; 10485760 byte limit
    Instructions:
  • If you are applying as a collaborative, the following attachments are needed for each collaborative partner:
    IRS 501(c)3 determination letter

    Most recent three years of IRS Form 990 tax return

    A letter from each collaborative partner describing their role in the implementation of the plan
    Detailed Instructions:
    1. Click the link below to SAVE the Collaboratives information document to your computer.

      Download the Collaboratives document

  • Pre-Application Activity
    The Wells Fargo Regional Foundation is committed to improving the quality of our grantmaking program. Please take a moment to answer the following questions to assist us in enhancing our program. Thank you.
    *How did you hear about the Wells Fargo Regional Foundation?
    (Checkbox List)
    • Wells Fargo Regional Foundation web site
    • Wells Fargo team member
    • Wells Fargo Regional Foundation grantee
    • Word of mouth
    • Conference
    • Neighborhood Planning Workshop
    • Other
    Instructions:
  • *Have you attended the Wells Fargo Regional Foundation's neighborhood planning workshop?
    (Yes/No)
    Instructions: