A brief history of the organization and description of existing services (if applicable, please include website address, current programs and accomplishments, current number of staff, and volunteers, and current population served, e.g., number served per year, geographic location, socio-economic status, ethnicity, gender, or age)
A description of the proposed program
The specific dollar amount requested from the Foundation and date payment is needed
A list of all entities asked to give financial support to the proposed project (include their responses to date and dollar amount committed)
A project budget including income and expenses
A plan to evaulate the project (please include measurable, time-specific goals, a description of information to be collected to measure progress and how that information will be collected)
A list of trustees or directors and corporate officers that includes: titles for board of directors, profession, ethnicity and gender
Names and qualifications of staff involved with the proposed project
The organization's current operating budget and year-to-date financial statements
The last certified audit (if a young agency, send the last fiscal year's statements and the last IRS Form 990 filed)
A copy of the latest verification of tax-exempt status from the Internal Revenue Service under Section 170 of the IRS code
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