FY 2026 City of Roanoke Human Services Funding Application → Roanoke Arts Commission

Welcome to our FY2026 City of Roanoke Human Services Grant Process.

We’re working hard to make this a relatively simple process, yet there’s a good amount of information we need you to provide.

Write your grant in the worksheet and then enter your data in this form.

Do not try to write your application in this system. Instead, draft your application in the APPLICATION WORKSHEET. (This is a Word document that you can download in the resources above.) Work in that document and then transfer your responses into the system.

On Navigation

There are “Next” and “Previous” buttons at the bottom of the page. Use those to navigate through the pages.

Submit by Noon, Thursday, 1/30/25

Your application will not be reviewed until you press the final SUBMIT button on the last page. When you do, you will receive an email acknowledgement that includes a copy of your application.

PART ONE: ORGANIZATIONAL INFORMATION

1. Email(Required)

Enter Email Confirm Email

2. Organization Name(Required)

3. Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

4. Phone(Required)

5. Website(Required)

6. Executive Director Name(Required)

First Last

7. Application Preparer Name(Required)

First Last

8. Mission(Required)

9. Vision(Required)

10. Please list additional links that would be helpful in better understanding your organization and its mission. Link 1:

Link 2:

Link 3:

ORGANIZATIONAL GOVERNANCE INFORMATION

11. Are board members directly involved in formulating the organization's budget?(Required)

Yes

No

12. Are board members responsible for its final approval?(Required)

Yes

No

13. It is required that board members contribute financially to your organization. Did 100% of the board members contribute financially to the organization last year?(Required)

Yes

No

14. When was your most recent strategic planning process?(Required)

15. Please list three priority goals established during your most recent strategic planning process and in a sentence each, describe progress made toward them.(Required)

16. Board attendance: Please complete the following table with the number of board members in attendance at each board meeting.

Total number of board members(Required)

January

February

March

April

May

June

July

August

September

October

November

December

Comments

BOARD AND STAFF DIVERSITY

17. Briefly describe the organization's efforts to ensure diverse staff and board leadership. Please include any efforts you make to increase representationof your board and staff to ensure the best possible services to Roanoke's diverse population.(Required)

18. Board Diversity

Please include the count of board members in each ethnic or racial category.

Total Number of Board Members(Required)

Black / African American

Asian

Hispanic / Latino / Latina

Native American

White / Caucasian

Other

19. Board Diversity 2

Please include the count of board members in each gender category

Total Number of Board Members(Required)

Male

Female

Nonbinary

Other

20. Board Diversity 3

Please include the count of board members in each age category.

Total Number of Board Members(Required)

Ages 14 – 17

Ages 18 – 29

Ages 30 – 49

Ages 50 – 69

Ages 70 +

21. Staff Diversity

Please include the count of staff members in each ethnic or racial category.

Total Number of Staff Members(Required)

Black / African American

Asian

Hispanic / Latino / Latina

Native American

White / Caucasian

Other

22. Staff Diversity 2

Please include the count of staff members in each gender category.

Total Number of Staff Members(Required)

Male

Female

Nonbinary

Other

23. Staff Diversity 3

Please include the count of staff members in each age category.

Total Number of Staff Members(Required)

Ages 14 – 17

Ages 18 – 29

Ages 30 – 49

Ages 50 – 69

Ages 70 +

ORGANIZATIONAL FINANCIAL OVERVIEW

24. Do you have an endowment?(Required)

Yes

No

25. If yes, what is the size of the endowment as of December 31, 2024?

26. Current Fiscal Year (beginning and end dates)(Required)

27. Total amount of current operating budget(Required)

28. What is the amount of your current cash reserves?(Required)

29. Within the last five years, has the organization ended two or more fiscal years with an operating deficit?(Required)

No

Yes

30. If applicable, please briefly explain the circumstances of the operating deficit.

31. Total volunteer hours accumulated in the last full fiscal year.(Required)

32. Total volunteer value accumulated in the last full fiscal year (at $33.49 / hour)(Required)

33. Revenue Breakdown

Please include the percentages for the following budget revenue categories for the last fiscal year. The numbers do not have to add up to 100%, and the fields will not tabulate a total.

Contributions / Donations

Earned Income

Grants

Unearned Income (Interest and Endowment Proceeds)

Organizational Attachments

Certificate of Liability Insurance

Max. file size: 256 MB.

Most recent financial audit or signed financial documents

Max. file size: 256 MB.

Most recent IRS 990

Max. file size: 256 MB.

Signed and notarized representations and agreements

Max. file size: 256 MB.

VDACS Confirmation Letter

Max. file size: 256 MB.

VDACS Confirmation Letter of Form 100-F “”Virginia Exemption Application – Solicitations Confined to Five or Fewer Contiguous Cities and Counties”

Board of directors list with contact information

Max. file size: 256 MB.

This is the final page in PART ONE: ORGANIZATIONAL INFORMATION.

You must complete both parts to be eligible for funding. Remember: the application is due at noon on Thursday, January 30, 2024.

PART TWO: PROGRAM INFORMATION

This is the proposed program for which you are seeking funding.

Logistics

34. Name of program to be implemented.(Required)

35. Where will the proposed program be implemented?(Required)

36. Who will benefit from the program? Please include demographic information and the expected number of participants.(Required)

Program Overview

37. Describe the program for which you are seeking funding.(Required)

38. What need does this program meet in the city of Roanoke? (Include data to describe the need for the population you intend to serve.)(Required)

39. How will your program meet the need in the city of Roanoke that you identified in question 38?(Required)

40. How does this program align with the "Path to Results" as stated in the Human Services section of the City Council's Strategic Plan? (The document is linked at the top of the page.)(Required)

Outcome Measures

41. How do you define the success of this program?(Required)

42. What measurable outcomes are you tracking? What is your rationale for using these specific measures?(Required)

43. How well has your organization succeeded in meeting your designated outcome goals in the past three years? (Please provide specific examples or data to support your claims. If this is a new program, describe outcomes and success of other implemented programs.)(Required)

Innovation & Collaboration

44. How has your organization innovated or adapted to increase its impact in the past 3 years? (Please provide specific strategies or approaches.)(Required)

45. List up to five organizations or entities you will collaborate with for this program and describe how each improves program effectiveness.(Required)

Organizational Capacity to Complete the Program

46. Describe your organization's relevant experience, expertise, or resources that will contribute to the program's success.(Required)

47. Briefly describe how the organization will integrate trauma-informed practices into the proposed program — Explore the Principles of Trauma Informed Care in the resources at the top of the page or at the CDC's site at https://stacks.cdc.gov/view/cdc/56843 )(Required)

48. What barriers to success do you anticipate when implementing this program?(Required)

49. How much are you seeking through this grant application? This should match the amount in your proposed FY26 budget.(Required)

Budget and Cost-Effectiveness of the Program.

50. Define your unit of service for this proposed program.(Required)

51. What is your program's cost per unit of service?(Required)

52. If this is not the first year of this program, please share REVENUE for the last implemented program year.

53. If this is not the first year of this program, please share EXPENSES for the last implemented program year.

Please upload your FY 2025 & 26 program budgets using the required budget worksheet.

Max. file size: 256 MB.

Download the budget worksheet here: _______________

54. Please describe how you will utilize volunteers for the implementation of the program.(Required)

55. Other information otherwise not captured above.

This is the final page. Only press the submit button when you have completely finished your application and are ready to submit. Once you sign and click submit, you cannot change your application. Upon submission, you will receive an email with your responses.

Type your name to stand in for your signature of the preparer.(Required)

By typing your name you certify that the application represents the current state of the organization to the best of your knowledge and ability.

Type your name to stand in for your signature of the executive director.(Required)

By typing your name you certify that the application represents the current state of the organization to the best of your knowledge and ability.

Comments

This field is for validation purposes and should be left unchanged.