The application window is now closed for the forthcoming 2011 Cities 97 Sampler Volume 23.

The window to apply for Cities 97 Sampler proceeds is open from the beginning of June til the beginning of October each year. Over the next few months, we'll be reviewing the applications and will announce recipients this spring.

Please check back in June 2012 to apply for next year's proceeds.

The application window is now open for the forthcoming 2012 Cities 97 Sampler Volume 24.

Thank you for the meaningful work you do every day in our community. This application is for proceeds that will be generated by the sale of Cities 97 Sampler Volume 24, on sale November 15th, 2012 at metro Target stores. It is unknown at this point exactly how much money will be generated but our hopes are for between $500,000 and $750,000 as long as the Sampler sells out and production expenses stay as low as they have in the past.

• Only applications received online through Cities97.com will be accepted.

• Deadline to submit is October 5th, 2012.

• Only licensed and eligible non-profit organizations and charities that benefit and serve adults, children or animals in Minnesota/Western Wisconsin (KTCZ listening area) may apply.

• Applications must be filled out completely.

• Sampler grants are a one-time event, so even if your organization has received a Sampler grant in the past, you must fill out the application each year as there is no guarantee of grants year-to-year.

Charities selected for proceeds will be notified via email or phone between April 3rd, 2013 and April 10th, 2013. Proceed dollar amounts awarded to each charity will be communicated between May 15th, 2013 and May 29th, 2013.

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The below list of charitable 'causes' (not specific organizations) are presented to Cities 97 listeners in an annual 'community need' survey. It is distributed in December to more than 85,000 listeners and Sampler buyers in the Cities 97 Frequent Listener Club database. This serves as a guide for the Sampler charity committee's decision process. Please choose the cause that best represents your organization as you fill out the application.

Thank you again for all the wonderful, heartfelt, and impactful work you do every day and good luck!

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Please read carefully and fill in all required fields.
One submission per organization please.


*Organization Name:
*Address:
*City:
*State:
*Zip:
*Email:
*Tax ID/501c:
*Website:
*Year Founded:
*Mission Statement:
(60 Word Limit)
 
*Contact Name:
*Contact Phone:
*Contact Email:
 
*Have you received Cities Sampler proceeds in the past?:
     Yes No
If Yes, total received to date:
 
*Very Important: For what specific program, event, need or goal within your overall organization would you use a Sampler grant?
(160 Word Limit)
 
*What dollar amount are you hoping to receive to meet your stated specific program, event, need, goal?
(choose one range)
 $1,000 - $5,000
$6,000 - $10,000
$10,000 - $19,000
$20,000 - $25,000
$26,000 - $35,000
$36,000 - $45,000
$46,000 - $60,000
$61,000 - $80,000
$81,000 - $99,000
$100,000+
 
*Thinking of the specific program, need, goal you listed above, which cause category best fits or describes who you serve? (Please read each carefully and select one that best fits)
Children with Life Threatening Illnesses (resources for child and family in and out of hospital)
Food Shelves, Feeding Hungry
Domestic or Family Violence (spouse or child abuse)
Cancer Patient Support (financial, home upkeep, prepared meals, resources)
Homeless & Homeless In Transition (housing/food/clothes/furniture/ emergency shelter)
Research: Adolescents With Disease (cancers and other diseases)
Active and Returning Military (family support, counseling, healing wounded)
Senior Assistance (meals, transportation, utility bills, home repair, sight and hearing resources)
Suicide Prevention Programs (outreach for teens and young adults with depression, support for anti-bullying programs)
Research: Senior / Adult Disease (Alzheimer's, Parkinson's, Cancer)
Research: All Cancers (Breast, Colon, Ovarian, Testicular, Blood, etc)
Domestic Animal Shelter Care and Protection (dogs, cats, and other pets)
Research: Physically Disabling Diseases (Multiple Sclerosis, Muscular Dystrophy, ALS)
Grief Counseling & Services (for loss of child or parent, coping parent of troubled or disabled child)
Youth Camps & Classes (for underprivileged, ill, disabled)
Youth Mentorship
Youth Drug & Alcohol Rehabilitation (helping young people with addiction)
Physically Disabled Outreach (resources, jobs, activities, housing)
Well Baby (prenatal care, education for teen mothers)
Autism Support (parent support/resources for children with Autism)
HIV / AIDS (support groups, socialization & education for kids)
Other