SAGES Education & Research Foundation Grant Application Deadline: September 9, 2024 Are you submitting this for a SAGES committee? Yes No General Instructions & Guidelines: Resources It is assumed that some of the resources required to conduct the project are available through the applying institution. The grant funding will provide supplemental support for personnel, equipment, or services required for project completion. Criteria Awards are based on the educational and/or scientific merit of the project, the project director’s capability, and the likelihood that the project will be completed successfully. Responses The application questions reflect the interests of the SAGES Foundation, but are not intended to be conclusive. Answers should be concise but thorough. Reports A progress report must be submitted for all projects awarded funding. The report is due upon completion of the project, or 6 months after funding is received, whichever comes first. A progress report template will be provided to all funded applicants. Legal name of organization applying* Should be the same as on IRS determination letter and as supplied on IRS Form 900Year Founded:* Address (Principal/Administrative Office):* Mailing Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Website:* Project Name:* Purpose of Grant (one sentence):* Beginning and Ending Dates of the Project:* Amount Requested:* Total Project Cost:* Current Annual Operating Budget:* Geographic Area Served:* Describe the proposed program or project:* Organizational information:*Organization's history:*Organization’s mission and goals, long-range plans:*Please specify the extent to which the project can be realized if no funding from the Foundation is granted?*Outline current programs and activities:* Major Accomplishments:* Specify if the project is a new or continuing program:* Identify other organizations, partners, or funding agencies participating in the project:* Principle Investigator/ Project Lead:* First Last Principal Investigator/ Project Lead E-mail:* Name any additional professionals participating in the project management or operations:* Where will the program/project be actualized? Provide qualifications of the institution or venue (if different from the organization):* Identify the needs to be addressed, number of people to be served by the project:*Project goals and objectives:*Timetable for implementation:* Evaluation - Describe the plan to document progress and results. Plan should delineate the metrics used for evaluation. Final evaluation and expenditure reports will be required for each grant awarded:*2. Project Director/Project Management/Committee Name of SAGES Committee Applying:* SAGES Committee Chair:* SAGES Committee Chair E-mail:* Name the Project Director and his/her academic institution:* SAGES Staff Contact First Last Name any additional committee members or SAGES members participating in the project: ATTACHMENTS 1. Project budget including expenses and income. Expense categories may include: Travel Equipment, hardware, software Supplies and materials Printing and copying Telephone and fax Postage and delivery Project Management fees 2.Include all confirmed and anticipated sources of revenue and indicate status. Provide an income total. Income categories may include Other foundation grants Corporate or individual donations or grants Project income, sales or fees In-kind support ATTACHMENTS Please include the following attachments: 1. Copy of the current IRS determination letter indicating 501(c)(3) or 501(c)(6) tax-exempt status 2. Organizational structure, including: List of officers and directors, including academic or professional affiliations Description of committees and task forces Resumes and/or job description of key personnel involved in the project 3. Financial information, including: Project budget; refer to the Grant Application Budget Outline attached List of other funding agencies and potential funding sources and amounts committed or requested individual contributions and other sources of income supporting the project Current board-approved annual operating budget for the organization or department Most recent annual financial statement 4. Optional-Letters of support that substantiate need for the project and collaboration with other organizations GRANT APPLICATION BUDGET OUTLINE An accurate, detailed budget for proposed projects is required. Please break down the total budget into the specified items listed below. A narrative description explaining unusual budget items and, if applicable, the percentage of "overhead" applied to the project should precede the itemized listing. "In-kind" expenses and donations or matching funds should also be described. As long as the application contains the following information, it can be submitted in any format (word, excel, pdf, etc.). HEADING Please specify the budget period, e.g., calendar year (Jan. – Dec.) or fiscal year (July – June) EXPENSES Please itemize the following expenses and include any additional items relevant to your particular project. Provide an expense total. Salaries and wages by individual position, specifying full- or part-time positions Payroll taxes Fringe benefits and related fees Consultant and professional fees, e.g., accounting, legal, etc. Travel Equipment, hardware, software Supplies and materials Printing and copying Telephone and fax Postage and delivery In-kind expenses Project overhead (the Foundation allows up to 15%) TOTAL EXPENSES: INCOME Please include all confirmed and anticipated sources of revenue, and indicate their status. Provide an income total. Government grants and contracts Other Foundation grants Corporate or individual donations or grants Project income, sales or fees In-kind support Other revenue TOTAL INCOME: Project BudgetAccepted file types: pdf, doc, docx, Max. file size: 512 MB.IRS Determination Letter*Accepted file types: pdf, worddocument, Max. file size: 512 MB.Organizational Structure*Accepted file types: pdf, excel, worddocument, Max. file size: 512 MB.Financial Information*Accepted file types: pdf, excel, worddocument, Max. file size: 512 MB.Letters of Support (Optional)Accepted file types: pdf, worddocument, Max. file size: 512 MB.Additional attachmentsAccepted file types: worddocument, pdf, excel, jpeg, png, Max. file size: 512 MB.Additional attachmentsAccepted file types: worddocument, pdf, excel, jpeg, png, Max. file size: 512 MB.HiddenUpload related attachmentsAccepted file types: worddocument, pdf, excel, jpeg, png, Max. file size: 512 MB.HiddenUpload related attachmentsAccepted file types: worddocument, pdf, excel, jpeg, png, Max. file size: 512 MB.