- Zip Code
- Contact Person
- Phone Number
- Describe the program, project, grant match or endowment challenge for which funds are currently sought.
- Total financial goal of this project/activity
- Amount of grant request
- If the grant does not provide full funding for the program/project/match, please describe how the goal will be reached.
Internal Organizational Commitment
- What percent of board members made a financial contribution this past fiscal year?
- What percent of board members are active in fundraising?
- On an annual basis, how many volunteers, excluding board members, are active in your organization?
- Name of Chief Executive
- Current list of Board of Directors
Financials to be attached
- Copy of organization’s most recent audited financial statement
- Copy of organization’s Form 990 or 990-EZ (only if no audit)
- Copy of organization’s federal IRS 501(c)(3) exemption letter
- Copy of organization’s current year operating budget