Fast Track Grant Writing  Application - Cohort 2*

Are you located in Riverside county and/or provide services to Riverside County?

1 (cities of Riverside, Perris and Wildomar. The district also covers the unincorporated communities of Good Hope, Mead Valley, Meadowbrook, Tenaja, DeLuz, LaCresta, Highgrove and March Air Reserve Base.)

2 (cities of Canyon Lake, Corona, Eastvale, Jurupa Valley, Lake Elsinore, and Norco, along with the unincorporated communities of Coronita, El Cerrito, Gavilan Hills, Home Gardens, Lake Mathews, Lakeland Village, Temescal Valley, Warm Springs, Woodcrest and more.)

3 (cities of Hemet, Murrieta, San Jacinto, and Temecula. The district also includes the unincorporated communities of Aguanga, Anza, Cottonwood Canyon, French Valley, Gilman Hot Springs, Green Acres, Homeland, Idyllwild, Lake Riverside, Mountain Center, Murrieta Hot Springs, Pine Cove, Pinyon Pines, Poppet Flats, Rancho California, Soboba Hot Springs, Twin Pines, Valle Vista, and Winchester.)

4 (cities of Blythe, Cathedral City, Coachella, Desert Hot Springs, Indian Wells, Indio, La Quinta, Palm Desert, Palm Springs and Rancho Mirage. The Fourth District includes the communities of Bermuda Dunes, Cahuilla Hills, Carver Tract, Chiriaco Summit, Colorado River Communities, Desert Center/Lake Tamarisk, Desert Edge, Desert Palms, Eagle Mountain, Fern Valley, Garner Valley, Garnet, Idyllwild, Indio Hills, Mecca, Mesa Verde, Mountain Center, North Palm Springs, North Shore, Oasis, Pine Cove, Pinyon Pines, Ripley, Sky Valley, Snow Creek, Thermal, Thousand Palms, Vista Santa Rosa, Whitewater and Windy Point)

5 (cities of Banning, Beaumont, Calimesa, Hemet, Moreno Valley, San Jacinto, the unincorporated communities of Cherry Valley, Cabazon, Nuevo, Lakeview, Reche Canyon, San Timoteo)

Fast Track Grant Writing Application - Cohort 2*

Name

Your email

Your Phone number

Name of Organization/Business

What is your role?

Address of Organization/Business

Zip Code

County

When was organization/business registered?

Is your organization legally registered as a 501(c)(3)?

Are you located in Riverside county?

Do you serve Riverside county?

Mission Statement

Annual budget (2023)

What best describes your industry sector?

Total # of staff

Total # of Board of Directors

Is your CEO/Executive Director any of the following?

Please input the numbers in each section that represent your BOARD OF DIRECTORS. If 0, you can leave it blank

Please input the numbers in each section that represent your STAFF. If 0, you can leave it blank.

Please input the numbers in each section that represent your SENIOR LEADERSHIP. If 0, you can leave it blank

Describe the primary beneficiaries your organization/business serves (e.g., children, elderly, underserved communities, etc.).

Provide an overview of your organization/business's existing programs and services.

Describe the outcomes and impact achieved through your business/organization's programs (if applicable).

Do you have previous experience with training programs?

Why do you want to join this program?

What are your expected outcomes/goals by the end of this program?