Nonprofit Council Grant Program Application

Applicants simply complete the short form below and upload the required documentation.

Organization Information

Organization Name(Required)

Website(Required)

Year Established(Required)

EIN Number(Required)

Executive Director(Required)

Primary Contact (First and Last Name)(Required)

Email(Required)

Phone

Country Phone Number

Fiscal Sponsor (if applicable)

East Contra Costa Communities Served(Required)

Annual Operating Budget:(Required)

Organization & Community Served

In 500 words or less: Describe your organization's mission and primary programs. Describe the communities you serve. Describe how your work benefits low-to-moderate income and/or historically marginalized communities.(Required)

Funding Request

Funding Request Type:(Required)

Amount Requested(Required)

Project Title(Required)

Project Description

In 1000 words or less: Describe the project you are requesting funding for. Please include: Organizational need or opportunity – Activities to be completed – Who will lead implementation – How this project will strengthen your organization(Required)

Additional Questions for Internship Requests Only. In 500 words, describe the proposed internship role and responsibilities. Who will supervise the intern? What skills or experiences will the intern gain? Estimated internship duration and weekly hours.

Success & Impact

In 200 words or less: What organizational improvement or change do you hope this project will support? Examples may include: Improved organizational systems, Increased board or staff capacity, Improved technology infrastructure, Stronger financial systems, and Greater organizational effectiveness.(Required)

Project Timeline

Provide a brief timeline with key milestones and estimated completion dates. (Use the plus sign(+) to add more milestones and dates.)(Required)

Key Milestone

Completion Date

Project Budget

Amount Requested ($20,000 Maximum):(Required)

Please enter a number from 1 to 20000.

Brief Budget Summary:(Required)

Expense Category (Choose from: Salary, Benefits, Program Supplies, Office Supplies, Equipment or Other)

Amount

Description

Other funding sources supporting this project (if any):

Certification

IRS Determination Letter for Organization or Fiscal Sponsor(Required)

Max. file size: 1 MB.

Fiscal Sponsor Agreement (if applicable)

Max. file size: 1 MB.

Most Recent 12-month Organizational Budget(Required)

Max. file size: 1 MB.

Most Recent Profit and Loss Statement(Required)

Max. file size: 1 MB.

Board Member List(Required)

Max. file size: 1 MB.

Certification

I certify that the information contained in this application is true and accurate to the best of my knowledge.

Name(Required)

First Last

Title(Required)

Print Full Name as Signature(Required)

Nonprofit Council Grant Program Application

Nonprofit Council Grant Program Application

Organization Information

Organization & Community Served

Funding Request

Project Description

Success & Impact

Project Timeline

Project Budget

Certification

Certification

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