- Has the name of your organization changed? Provide organization names and dates under which a prior application might have been submitted.
- State your Organization's Mission (Approximately 3-4 sentences)
- When was the organization established as a non-profit? (month/year)
- IRS 501(c)(3) Tax-Exempt Name and ID Number
- Fiscal Agent If you are using another non-profit agency as your fiscal agent, please upload a current letter outlining your relationship.
- Program Area (select one)
- Community Development
- Education
- Health - Mental and/or Physical
- Human Services
- Youth Development
- Previous applications Provide year and amount of funding (For example: 2017-$15,000/yr x 3 years.) If application was denied, give date of denial.
- Recent activity This is not a program description, but rather a listing of activities from the past six months. This could include programs or events held, the frequency, and number of participants. This should give the application readers a snapshot of your work and day to day operations within the past 6 months.
- Grant Proposal Please do NOT repeat information provided for the 'Recent Activity' question above. We will read both. Instead, describe your organization and the programs you provide.
- Programs and/or Services. Describe the programs or services your organization provides.
- Program Participants. Provide demographic and location information about the populations you serve - for example: age ranges, household income data, percent of students receiving free or reduced lunch, neighborhoods or zip codes of where program participants live, etc.
- Needs and/or Challenges. Describe how the needs or challenges faced by the people and communities you serve have been changing or evolving. How has your organization tried to address this or tried to adapt your programs to be responsive to these changes?
- Impact. Describe the impact your programs are having on the people and/or communities you serve (both qualitative and quantitative information is welcome). What level of impact do you hope to have in the future?
- Media Links. If you have links to news articles, videos or social media handles, please include them here.
- Key Staff for Review
- Total number of Staff - List number of Full-time and Part-time Staff.
- Total number of Volunteers.
- Significant Staff Changes. Please describe any recent and significant staff changes over the past 12 months, if applicable.
- Key Staff. Provide a brief summary of all key staff pertinent to the day-to-day operations of the program. Include name, title, responsibilities/duties, and length of time at organization.
- Resume of Executive Director. In addition to the brief description above, upload and attach the resume of Executive Director.
- Board of Directors. Total number of Board Members (List name, title, and place of employment)
- Budget and Financials
- We are focusing on organizations with budgets of $1 million or less.
- Most giving is in the range of $10,000 to $25,000/year for up to three years.
- Total current annual organization (For example: $850,000)
- Current operating budget breakdown Include the organization's revenue and expenses for the current fiscal year. If using a fiscal agent, we do not need to see their budget. (Please Note: if you have converted an excel or word document to a pdf document for upload, please check that only the pages with budget information is attached and no extra pages were included. This upload should only be 1 - 5 pages.). Please click here for Sample Budget format.
- Dates of fiscal year (For example: January-December, June-July)
- Current funding sources (Provide funding sources over $5,000 received within the past 12 months - including the name of the funder, amount, and date received. Indicate with an (R) if you have received funding from this source in the past, and, if so, for how many years. Also list any pending grant applications to include amount and expected date of award.
- Who should we contact if we want to schedule a site visit (Name, title, phone number, and email address)
- Operating Hours (Provide weekly operating/program days and hours and note if they are virtual or in person)
- Program Address (If different from Mailing Address or, if your Mailing Address is a PO Box, please give specific street address for possible site visit scheduling purposes.)
- Do you have a personal connection with anyone involved with the Patricia Kind Family Foundation? If so, please briefly explain. (This is for informational purposes only.)
Note: For all prior applicants, please be sure to double check that the primary contact information listed in your Foundant account is correct. You can view this on your Applicant Dashboard homepage when logged in. Click on the pencil icon to update if needed.