Application Details

There are two main parts to the application process - the web form and the supplemental materials. Each part is detailed below. To begin the application process, return to the Application page and click the button at the bottom of the page.

The following fields are part of the web form:

Organization: (Exact Legal Name of Organization to which grant would be paid.)

Purpose: (Purpose of grant and/or Program-Related Investment (PRI).)

Name: 

Address: 

Phone: 

Email: 

Executive Director: 

Executive Director Phone Number: 

Contact Person and Title: (If not Executive Director)

Not-For-Profit Organization?: (Is your organization recognized, under section 501 (c) or similar provision of the Internal Revenue Code, by the IRS as a not-for-profit entity?)

If not, please explain.: 

Grant or PRI?: 

General or Project Support?: 

Funding Request Amount: 

Total Organizational Budget: (Total Organizational Budget for the Current Year)

Dates Covered by Organizational Budget: 

Total Project Budget: (If requesting project support.)

Dates Covered by Project Budget: 

Project Name: (if applicable)

Proposal Summary: Please summarize in a brief paragraph the purpose of your organization. Briefly explain why your organization is requesting this grant or Program-Related Investment (PRI), what outcomes you hope to achieve, and how you will spend the funds if a grant is made.

Background: Describe the work of your organization, addressing each of the following:

i. A brief description of its history and mission.

ii. The need or problem that your organization works to address, and the population that your organization serves, including geographic location, socioeconomic status, race, ethnicity, gender, sexual orientation, age, physical ability, and language.

iii. Current programs and accomplishments. Please emphasize the achievements of the recent past.

iv. Number of full paid staff; number of part-time staff; number of volunteers.

v. Your organization’s relationships-both formal and informal- with other organizations working to meet the same needs or providing similar services. Please explain how you differ from these other agencies.

Funding Request: Please describe the program for which you seek funding.

i. If applying for general operating support, briefly describe how the grant would be used.

ii. If your request is for a specific project, please explain the project including:

a. A statement of its primary purpose and the need or problem that your organization is seeking to address.

b. The population that you plan to serve and how this population will benefit from this project.

c. Strategies that you will employ to implement this project.

d. The proposed staffing pattern for the project, and the names and titles of the individuals who will direct the project.

e. Anticipated length of the project.

f. How the project contributes to your organization’s overall mission.

Program-Related Investment: If your organization is seeking a PRI, please describe strategies and sources for repayment.

Evaluation: Please explain how you will measure the effectiveness of your organization’s activities. Describe your criteria for a successful program and the results you expect to have achieved by the end of the funding period.

Electronic Signature: Requestor electronic signature. Please type your legal first and last name as acknowledgement of this submission. The signator represents that he is duly authorized by the Applicant to submit the Application.

Once you have submitted the web form, you will be directed to a page requesting supporting materials. These materials may be emailed or mailed to Mr. Libby (contact information here) and include:

Please label all attachments to correspond to the bold-faced, capitalized items below.

A. Financial Information – Please provide the dates that each document covers.

  1. The organization’s Financial Statements, audited if available, for the last three years. This statement should reflect actual expenditures and funds received during the most recent fiscal year.

  2. Aligned side by side on the same page, the organization’s Operating Expense Budgets for the current period and the past three fiscal years.

  3. Aligned side by side on the same page, a list of organization's corporate supporters and all other sources of income, with contribution amounts, for your current and past three fiscal years.

  4. Please list the foundations, corporations and other Sources that you are Soliciting for Funding and, to the best of your knowledge, the Status thereof Of Your Proposal with each.

If project funding is requested:

  1. Current Expense Budget for the Project. List each staff line separately and include the percent of time spent on the project. Indicate the specific uses of the requested grant to the extent possible.

  2. A list of all Sources of Income committed toward the project, actual and prospective with amounts.


B. Other Supporting Materials

  1. A list of your Board of Directors with their affiliations, and amounts contributed by each Board Member within the current fiscal year and the past three fiscal years.

  2. A copy of your most recent IRS letter indicating your organization’s tax-exempt status, or, if not available, an explanation or other evidence thereof.

  3. Describe how often the Board of Directors meet, each member’s jobs or committees, and percentage of meetings attended during the present and past three fiscal years.

  4. One paragraph resumes of your key staff, including qualifications relevant to the specific request.

  5. The organization’s most recent annual report, if available.

  6. No more than three examples of recent articles about, or evaluations of, your organization, if available.

  7. Copy of the Form 990 for the past year.