Community Support Application – Second Chance Thrift Shop

If your organization meets the qualifications, please complete the Community Support Awards application form in full.

Qualifications & Requirements

I have read the Qualifications & Requirements Information.

Organization Name *

Organization Contact Person (First & Last) *

Title of Contact Person *

Contact Email Address *

Contact Phone Number *

EIN Number *

Fiscal Year End *

Address *

Number of Board Members *

Number of Full-Time Employees *

Number of Part-Time Employees *

Number of Volunteers *

People groups served in the SUMMERVILLE area (choose all that apply)

HomelessVictims of AbuseImpoverishedEducation ServiceThe HungryOther
If “Other”, please specify

What is your organization’s mission statement? *

List your services and number of clients served by each. *

Previous Funding

Did your organization receive funding from Second Chance in 2024? *
[radio* received_2024 use_label_element "Yes" "No"]

If awarded funding in 2025, describe the project/expenses and impact. *

Additional information for consideration

2024 Funding Sources (amounts)

Individuals (USD) *

Corporations (USD) *

Government (USD) *

Second Chance (USD) — do not include this in other totals *

Other Source (please explain)

Other Source Amount (USD)

Required Uploads (PDF/DOC/DOCX/XLS/XLSX up to 10MB each)

IRS Letter *

Board Member List *

Revenue & Expense Statement for 2024 (detailed) *

Balance Sheet for 2024 *

Budget for 2025 (current fiscal year) *

Revenue & Expense Statement for 2025 (detailed) *

Current Balance Sheet as of May 31, 2025 *