Chubb Charitable Foundation - Bermuda Application for Grant The Chubb Charitable Foundation – Bermuda focuses its charitable giving on clearly defined projects and programs with measurable objectives and outcomes that address the areas of education, the environment, and human services and help to enhance the vibrancy of the community. For more information about the Chubb Charitable Foundation – Bermuda, please contact . Please complete submit this application to: Chubb Charitable Foundation - Bermuda Chubb Building 17 Woodbourne Avenue Hamilton HM 08 Bermuda Mailing Address: PO Box HM 1015 Hamilton HM DX Bermuda O +441.299.9234 E philanthropybermuda@chubb.com A. General Information Organisation Name: Date: Registered Charity Number: Mailing Address: Contact Name: Title: Telephone: Fax: E-mail: Member of the Centre on Philanthropy? YES NO 1. Brief history of the organisation: 2. Mission of the organisation: 3. Annual revenue sources (indicate dollar amounts and percentage of total revenue) SOURCE Dollar Amount Percentage of Total Revenue
General Operating Funds (Unrestricted) Report on overall goals for the organisation EXAMPLES ARE SHOWN BELOW – PLEASE COMPLETE THE FOLLOWING FORM Goals Strategies / Programs to Achieve Goal Number of People to Benefit Intended Outcomes of Strategies / Program Measurement Methodology Goal 1: PROGRAM EXAMPLE: Advance the knowledge skills and performance of the Third Sector Hold a Fundraising workshop for charities (June 2006) Rewrite and reprint the Ready! Set! Go! guide for charities (Sept 2006) Hire Board Source to conduct Nonprofit Board development training (Nov 2006) ~30 charities that attend All 400 registered charities 3) ~40 charities that attend Increased knowledge and skills on fundraising in the Bermuda context Increased accessibility to information on setting up and running a charity in Bermuda Increased knowledge on tools to effectively develop and manage your Board Workshop evaluation form and number of attendee Number of website hits and annual member survey Workshop evaluation forms and number of attendees Goal 2: CAPITAL CAMPAIGN EXAMPLE: Create a language and learning based primary school and outreach centre to open in 2008 Implement a capital campaign to raise $3M to purchase the Good School building and renovate it to suit the school and outreach program needs, and open in September 2008 60 students to attend school and their families Create a facility to encourage learning through creative methods Attract 60 primary students (50% with learning needs) to attend the school in Sept 2008 Advance the learning and speech of all students On-time and budget completion of building Number of students Number of students to advance their speech and learning skills Goal 3: GENERAL OPERATING FUNDS Keep students focused through a school based mentoring program Matches students in school with volunteer mentors from the community, business sector and high school seniors who commit to spending one hour per week with a student in their school and who serve as additional role models and friends. 400 students and 400 mentors Create 400 student/mentor relationships by June 2006 Increase student academic performance Improve student attitude towards school Improve student decision making skills Number of mentor/mentee relationships Mentee survey Goal 4: Goal 5: