Welcome to Grant Warehouse
Grant Readiness Form: Applicant Organization’s Information Collection Tool
Grant Readiness Form: Applicant Organization’s Information Collection Tool: This tool will assist you with gathering your organization’s specific and/or pertinent information most often required by grant funders. This will be info that rarely or never changes (e.g. FEIN, Board Members) and will save you precious “grant writing” time by not collecting it again for each new grant proposal.
C. Grant Readiness Form: Applicant Organization’s Information Collection Tool:
Purpose- This form will assist you with gathering your organization’s specific and/or pertinent information most often required by grant funders. This will be info that rarely or never changes (e.g. FEIN, Board Members) and will save you precious “grant writing” time by not collecting it again for each new grant proposal.
Legal Name of Organization:
Organization Legal Name:
Is your organization operating as an AKA entity? Yes_____ No _____
If yes, what is the AKA name:
Corporate Office Street Address:
City: State: Zip:
Phone: Website:
Corporate Administrator’s Name:
Tile:
Phone: Email:
Grant Contact Name: Title:
Phone: Email:
Signatory’s Name(s): Title:
Phone: Email:
What is the organization’s FEIN (Federal Employer ID Number):
Is organization a 501 (c) (3)? Yes No
If yes, please upload a copy of the original IRS verification letter.
If no, indicate type of organization in accordance too IRS:
Non-profit without IRS status
Small business
For-profit business
Governmental Instrumentality
Municipality
School, College, University
Church or Religious Organization
Please Note: If the organization is not a 501(c) (3) nonprofit, and if allowed by grantor, a fiscal agent may be used. An MOU or another written agreement between organization and the fiscal agent must be completed, signed and uploaded.
Is the organization in Good Standing with the state?
Yes No If yes, please attach the most current verification from your state.
What is the Organization’s Mission Statement:
What is the Organization’s Vision Statement:
How many members are part of the organization’s Board of Directors?
How frequently does the board meet?
Please upload a list of names, board positions held, addresses, phone numbers, emails, and affiliations of each board member.
How many total people does the organization employ?
Of this total, how many are:
Full-time:
Part-time:
Contractual:
Volunteer:
What is the Organization’s Current Total Budget?
Please include departments or satellite sites individual budgetary amounts, if applicable.
From where does the Organization’s funding originate?
Describe each revenue stream, the name of the funding source and yearly amounts.
Federal Funds:
Name of Department:
Length of Funding:
Yearly Amount Received:
If funds are from a grant, what is the project period and end date:
State Funds:
Name of Department:
Length of Funding:
Yearly Amount Received:
If funds are from a grant, what is the end date:
State Funds, originating at the Federal level:
Name of Department:
Length of Funding:
Yearly Amount Received:
If funds are from a grant, what is the end date:
Local Funding:
Name of Grantor:
Name of Department:
Length of Funding:
Yearly Amount Received:
If funds are from a grant, what is the end date:
Private foundations, Corporations and Public Foundations:
Name of Department:
Length of Funding:
Yearly Amount Received:
If funds are from a grant, what is the end date:
Fees, memberships, sales etc.:
Name of Resource:
Length of Funding:
Yearly Amount Received:
Other:
Name of Department:
Length of Funding:
Yearly Amount Received:
If funds are from a grant, what is the end date:
What population(s) does your organization serve?
Break down the list of total participants according to population sectors and indicate the total number of individuals served per year.
If the organization tracks number of service hours, visits, etc. please indicate.
What geographic area(s) does the organization cover.
Are there any requirements for individuals/families to be able to participate? Please consider age, marital status, disability status, income limits, etc.
Upload a copy of the Organizational Chart. Please include staff, administrators, contractors, volunteers and the board.
Notes
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