ARROYO SECO NEIGHBORHOOD COUNCIL

 Budget & Finance
Committee

To: All Stakeholders

Thank you for your interest in submitting a funding request to the Arroyo Seco Neighborhood Council (ASNC)!

Your interest in improving our communities is sincerely appreciated. The community project should directly affect the ASNC communities (Mt. Washington, Sycamore Grove, Montecito Heights, Monterey Hills, and Hermon). You and your organization must be registered as ASNC stakeholders to request funds.

This online form will take no more than 5 minutes to complete. After submitting the form, the funding request will be routed to your community's Local Issues committee and/or an ASNC standing committee for review. If the required documentation has been provided, and if the project falls within city funding guidelines and ASNC budgetary constraints, the request will then be forwarded to the full ASNC Board for vote.

If approved by the full board, your organization will be notified and the funding process can then be initiated. Please allow 1-3 months for approval. Your patience is appreciated.

Sincerely,

ASNC Board of Directors

ASNC Funds Application Form.
Project Title/Requesting Organization:
Street Address:
City, State, ZIP:
Website:
Contact Person:
Email Address:
Telephone:
Amount Requested from ASNC ($):
Funding Need Date (mm/dd/yy) - allow 3-6 months for payment:
Total Project Budget ($):
Donations received (or expected) for this project from other neighborhood councils, businesses, citizens, and other gov't entities ($):
Community Project Category (select one) Safety – e.g. gang violence reduction, emergency preparedness supplies, neighborhood watch signs, public transportation issues. Instructions: Complete Items 1-6 below (Item 8 optional)
Health - e.g. free flu shots for the poor, banner for new low-cost community clinic, advertisements to promote drug-free living. Instructions: Complete Items 1-6 below (Item 8 optional)
Environment & Beautification - e.g. energy conservation, recycling, tree & flower planting, graffiti cleanup, community gardens, roadside cleanup, park improvements.
Instructions: Complete Items 1-6 below (Item 8 optional)
Education – e.g. equipment for schools, after-school programs, school capital improvements (field trips not allowed). Instructions: Complete Items 1-6 below (Item 8 optional)
Culture & Arts – e.g. display case for museum, cultural landmark preservation, equipment for dance/art studio, permanent art display (does not include limited-duration events). Instructions: Complete Items 1-6 below (Item 8 optional)
Festivals & Recreation – e.g. limited-duration festivals and events for the public. Instructions: Complete Items 1-3 & 7 below (Item 8 optional)
Other (enter category below)
Category name (if none of above):
1. Summary of Request: In the space below, briefly describe the purpose of the request, activities to be undertaken, target population —including ethnicity, gender, income level and estimated number of individuals — geographic focus and other relevant info regarding the request. Example: Purchase sign for a community clinic that serves more than 1,000 low-income individuals, predominately, Latino & Asian immigrants in the Montecito Heights, Hermon & Sycamore Grove areas.
2. How will the community be impacted by the proposed project and how will it benefit the neighborhood? Rationale: Community projects must directly benefit ASNC communities. Concerns about who & how many individuals will benefit from such projects also need consideration. Issues of access and fairness need to be addressed (e.g. if a project is approved to plant trees on one street corner, justification should be provided as to why that street corner needs trees or clean-up versus other street corners).
3. How has your organization attempted to obtain donations from local businesses, citizens, and/or gov’t agencies to offset expenses for this community project? Rationale: Community groups cannot expect all funding to be provided by ASNC but should first look for other sources, including businesses, citizens, council districts, public agencies (e.g. Cultural Affairs), and other affected neighborhood councils.
4. If this is for a capital improvement project, specify location and permits obtained (or in-process of obtaining). Provide copies of permits and insurance with application. Rationale: Capital improvement projects should be on public property, with coordination with the appropriate city agency (i.e. Street Services, Fire, Rec & Parks, etc). Appropriate permits need to be in place, and insurance may be required depending on the nature of work that will be performed.
5. If this is for program services (ie. after-school program, graffiti removal, etc), describe the selection process used to establish participants if for select group of individuals. Provide number of participants. Rationale: If for a select group of individuals, a fair selection process should be created to establish participants. The service program needs to be provided by a legitimate non-profit/consultant. A neighborhood council or its members should not provide these services.
6. If this is for equipment and supplies, describe specifically who will benefit and how it will be controlled. Rationale: Equipment and supplies for either public or private organizations can only be used for the benefit of the local community. Purchases intended for private and/or paid use are not allowed. Must be labeled as ASNC-purchased material and properly controlled/inventoried. Cannot be turned into private property or salvaged without prior approval by Dept of Neighborhood Empowerment (DONE).
7. If this is for an event, describe the intended audience, location and entry requirements. Rationale: Events must be open to the public. There should not be an admission charge. If the event is on private property, insurance may be needed. If the event is on city property, appropriate permission/permits from city departments may be needed (i.e. street services, LAPD, R&P, etc)
8. If this is for a sign, banner or advertisement, describe the contents. Provide a copy of the artwork for approval. Note: Banners, signs and advertisements must include the Arroyo Seco Neighborhood Council’s name and/or logo. Cannot promote the interests of board members or liaisons.
9. Other - please provide other important information necessary to better understand your organization or the specific needs of the targeted group or community that this request will serve.
DECLARATION: By checking the box below the applicant named above declares that the information provided in this form is correct. Agree
Disagree
Check all boxes to the right regarding suporting docs you will be submitting.Please email these docs to the ASNC before approval can be obtained. EMAIL DOCUMENTS TO treasurer@asnc.us. Copy of estimate/invoice (actual bill req'd for payment)
Letter of acknowledgement & thanks from receiving agency
Proof that needed licenses & permits are exist or in-process
Copy of artwork for banners, signs & ads
Copy of sign-in sheets for events
Examples of Unacceptable Purchases: * Field Trips (due to liability issues)
* Purchases that violate separation of church & state (self-explanatory)
* Gifts and donations of money or goods to individuals or groups (inc gift cards & flowers)
* Any purchase that increases the value of private property or does not benefit the general public
* Purchases intended for a particular group that does not include a fair selection process (usually involves program services, or improvements in only one part of the neighborhood)
* Events and projects without obtaining appropriate insurance and permits
* Supporting or opposing ballot measures or candidates