Apply – Elmar

Are you authorized to submit this grant application on behalf of the non-profit organization?*

Yes

No

Are you able to issue a receipt?*

Yes

No

Were you invited to apply for this grant?*

Yes

No

If so, who? If not, how did you hear about it?*

Are you a 501c(3) organization?*

Yes

No

Please provide your organizations Tax ID #:*

Please describe the program this grant will support. (150 words)*

What are the specific goals of the program?*

Is this a new or existing program?*

If this request is for a new program, how do you plan to scale-up to successfully launch and operate the program? (150 words)*

Please describe the demographics of the population this program will support.*

What is the geography of the population who will benefit from this program?*

What is your funding request?*

Is this a multi-year request?*

Yes

No

Is this a sponsorship request versus a donation?*

Yes

No

If yes, what benefits (e.g. logo/branding, tickets/tables, speaking, etc.) are provided?*

Please provide a sponsorship proposal.

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Organization Name*

Organization Website*

Organization's Social Media Channels*

Organization Leader

Name*

Title*

Email*

Submitting individual and grant main contact

Name*

Title*

Email*

Phone*

What is your mission?*

Please provide background on your organization, including information on the population you serve. (250 words)*

Please share the current work and challenges of your organization. (150 words)*

Please submit any collateral pieces that share about the organization’s history and work.

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Provide a list of your Board of Directors. Please include first and last name of each member and their current employer.*

Does your organization do advocacy work? If so, what?*

Please provide your current year's organizational budget.

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Please upload your most recent 990

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What percent of your budget covers administrative cost?*

What is your fiscal year?*

Please list your total revenues by sources.*

Who are you top three funders? Please include a list with giving amounts for both foundation and corporate support.*

GRANT APPLICATION

Organization Leader

Submitting individual and grant main contact