The Harley-Davidson Foundation Online Grant Application Instructions The following categories will need to be completed in order to submit your organization s online grant application to The Harley-Davidson Foundation: Organizational Information Online Login Organization Contact Information Mission & Goals Organization Discrimination Policy Employee & Volunteer Totals Primary Contact Category of Organization Proposal Information Proposal/Request Information Project/Program Description Evaluation Funding Considerations Proposal/Request Contact Harley-Davidson Contact Proposal Categories Gender Served Age Group Served Ethnicity Served Geographical Area Served Program Area Served Population Served Authorization Statement Permission to Submit Proposal Attachments IRS 990 IRS Determination Letter Independent Auditors Report Program Budget Organizational Budget Board of Directors List A full description of the information needed for each category is listed in the pages that follow. Note: Use this document as a checklist before starting the application. 1
Organizational Information Online Login: Username and Password Create a generic login if you have multiple grant writers needing access to the proposal. Organization Contact Information: Tax ID Number Organization Legal Name Address: City, State, Postal Code Phone Number (with Area Code) Fax Number (If Applicable) Website Address (If Applicable) Total Operating Budget Mission & Goals: Mission Statement & Organizational Goals (250 words or less) Organization Discrimination Policy: Choose One: Has Policy or Does Not Have Policy Employee & Volunteer Totals: Total Number of Full Time Employees Total Number of Part Time Employees Total Number of Volunteers Total Number of Harley-Davidson Volunteers Primary Contact: Prefix First Name Last Name Title E-Mail Address Phone Number Extension (If Applicable) Category of Organization: Choose the primary option from the following: Education Environment Health 2
Proposal Information Proposal/Request Information: Project Title One Sentence Summary of your Proposal Request Amount Project Budget - Total Amount of Project/Proposal Project Start Date Project End Date Project/Program Description: (NOT required for general operating requests) (350 Words) Abstract: Briefly describe the proposed program, how it relates to the organization's mission, capacity to carry out the program and who will benefit from the program. Outline the strategy/methodology and timeline to be used in the development and implementation of the program. Evaluation: (300 Words) Describe the results expected to be achieved. Explain how the organization will measure the program and what criteria you will use to indicate success. Funding Considerations: (250 Words) Describe plans for obtaining other funding needed to carry out the project/program or organizational goals, including amounts requested of other funders. If the project/program is expected to continue beyond the grant period, describe plans for ensuring continued funding after the grant period. List the top five funders of this project (if applying for a program grant) or organization (if applying for general operating support) in the previous fiscal year, the current year, and those pending for the next fiscal year. 3
Proposal/Request Contact: Is the primary contact the same as the request/proposal contact? If yes, click the box and do not enter information into the data fields. If no, enter new contact information in the data fields. Prefix First Name Last Name Title E-Mail Address Phone Number Extension (If Applicable) Harley-Davidson Contact: Is a Harley-Davidson staff member associated with the proposal? If yes, enter contact information in the data fields. If no, leave fields blank. Prefix First Name Last Name Title E-Mail Address Phone Number Extension (If Applicable) 4
Proposal Categories Gender Served: From the options below, select those that match the gender(s) served by your proposal: (one selection) None All Females Males Age Group Served: From the options below, select those that match the age group served by your proposal: (up to three selections) Adults 21-60 Children/Youth 4-12 Elderly 60+ General Public Infants/Babies 0-3 Teens/Young Adults 13-19 Ethnicity Served: Please read carefully. From the options below, select those that match the ethnicity served by your proposal: (up to two selections) Note: Only choose an ethnicity below if the total ethnic group equates to more than 51% of those served by the project. Choose General Minority if your organization serves a mix of ethnic groups that total 51% of the population served by the project. Ethnicity Not Tracked African American Asian American Caucasian General Minority Hispanic Native American 5
Geographical Area Served: From the options below, select those that match the geographical area served by your proposal: (up to two selections) Valley View, OH Plano, TX Chicago, IL Kansas City, MO Menomonee Falls, WI Milwaukee, WI Milwaukee, WI Washington Park Milwaukee, WI Menomonee Valley Tomahawk, WI Wauwatosa, WI York, PA Yucca, AZ Mohave County, AZ Program Area Served: From the options below, select the category that best fits your program: (one selection) Education Continuing Education GED, Technical Schools Education Arts Education Education Employment Enablers Education Higher Education 4-Year Colleges Education Kindergarten 12 th Grade Education Literacy Education Preschool Education Youth Development (mentors/tutors, after school programs, college readiness) Environment Economic Development Environment Botanic & Horticulture Activities Parks Environment Conservation Environment Environmental Education Environment Neighborhood Revitalization (Houses) Health Basic Needs - Food /Clothing Health Health Support Services Health Mental Health Treatment & Services Health Public Health & Wellness Education 6
Population Served: From the options below, select those that best fit the population served by your proposal: (up to two selections) Blind/Visually Disabled Disabled General Community GLBT Hearing Impaired/Deaf Homeless Poor/Economically Disadvantaged Veterans Authorization Statement By completing and submitting this request for funding, you are acknowledging that: The chief executive officer has authorized this request. You are authorized, by the requesting organization, to submit this request for funding. Attachments Attachments List: For your application to be considered complete, the following attachments must be attached before submission: IRS 990 Most current year IRS 990 Acceptable Format: PDF Only IRS Determination Letter - Your non-profit exempt letter from the IRS Independent Auditors Report - Audit of your most current fiscal year budget created by an independent auditor. Program Budget - Project/Program budget for the proposal Organization Budget Organization budget for most current year Board of Directors List - A list of your current board members, position titles, and any compensation they receive for their board membership. 7
Grant Evaluation - A report of your program's outcomes for the past year. (Required only if you have previously received a grant from our organization.) 8