Spark Grant Application- 05-01-15 v2 - Google Forms

3/10/2016
Spark Grant Application
Spark Grant Application
Instructions: Please read Spark's Guide for Grant Applicants prior to submitting this application (available here: https://www.sparksf.org/apply/). Completed applications are accepted on a rolling basis and can be submitted to [email protected]. We recommend that organizations work on the application offline prior to completion and submittal, as answers in the form will not be saved until submitted. Thank you and we look forward to receiving your application! * Required
Organization Background
1. Name of Organization *
2. Organization's Mission *
3. Organization Website
4. Year Organization Established *
5. Is your organization a registered 501c3 not­for­profit? *
Note that Spark CAN still accept applications from organizations that have not yet registered
as a 501c3. We would ask you to find a 501c3 to serve as your fiscal sponsor.
Check all that apply.
Yes
No
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6. Annual Operating Budget (in USD) *
Spark solicits grant proposals from
organization with operating budgets of
$150,000 USD or lower.
7. Name of Contact Submitting Application *
8. Title *
9. Email *
10. Telephone # *
11. Organization Mailing Address *
12. Physical Address (if different from above)
13. Date of Application Submittal *
Example: December 15, 2012
Spark Application Information
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14. How did you learn about Spark's Grantmaking Program? *
15. Is this your organization's first time applying for a grant from Spark? *
Check all that apply.
No
Yes
16. If no, what has changed about your work since you last applied for a Spark grant?
(800 character max ­ roughly 100 words)
17. What goal would your organization seek to achieve using a small grant (approximately
$3,000 USD) from Spark? *
(1600 character max ­ roughly 200 words)
18. LEADERSHIP: Please (1) Describe the leadership and management structure of your
organization, and (2) Tell us about your organization's main leader(s). *
(1200 character max ­ roughly 150 words) Example topics about your leader(s) include: What
is her story? What prepares her to lead this initiative? What motivates her? What are her
credentials and background?
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19. Number of Paid Staff *
20. Number of Volunteers *
21. ACTIVITIES: What does your organization do? Please explain the major programs
and/or services provided by the organization. Highlight any risks the organization is
taking by promoting this cause or issue, or in providing the services it offers, if there
are any. *
(2400 character max ­ roughly 300 words)
22. REACH: How many individuals are served by your organization (i.e. lives touched
through workshops, trainings or other service offerings)? *
(800 character max ­ roughly 100 words)
23. EXAMPLE OF A BENEFICIARY: Give an example or tell a story about a way in which
your organization has changed or could change the life of a woman. *
(4000 character max ­ roughly 500 words)
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24. MEASURING IMPACT: How do you measure your organization's impact and success?
Note: Spark does require grantees to fill out a reporting form the year after a Spark
grant is received; please refer to the Spark Grant Applicant Guide for more information.
*
(1600 character max ­ roughly 200 words)
25. PRO BONO NEEDS: Does your organization have any specific requests at this time for
pro­bono services by Spark members, or would this be of interest in the future? *
(1600 character max ­ roughly 200 words) In addition to grants, Spark can offer pro­bono
services ­ sourced from our members ­ on areas including but not limited to accounting, legal,
marketing, social media and web development support. Additionally, we have provided
consultancy on fundraising (including event based fundraising and crowd funding) and other
types of management. Spark shows favorable consideration to organizations that would
benefit from Spark's pro bono services.
Spark Grantee Criteria
All Spark grantee organizations are expected to meet the criteria listing below. 26. Is your organization currently primarily managed by women? *
Greater than 50% of management are women
Check all that apply.
Yes
No
27. Was your organization founded primarily by women? *
Greater than 50% of founders were women
Check all that apply.
Yes
No
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28. How does your organization provide a "norm­shifting" or innovative approach to
addressing challenges or opportunities? *
(1600 character max ­ roughly 200 words)
29. How does your organization address the root causes of challenges women and girls
face, such as gender inequality, poverty, education, economic livelihood, access to
health resources, etc.? *
(1600 character max ­ roughly 200 words)
30. How does your organization meet an unmet need in the region where you work? *
(800 character max ­ roughly 100 words)
Financial Information
31. REQUIRED: Please share your organization's total annual operating budget including:
(1) PROJECTED budget for your current fiscal year and (2) ACTUAL budget for your
latest complete fiscal year, if your organization was in existence last year. Please email
this information separately to [email protected].
Please confirm below whether you have sent this information to [email protected].
Mark only one oval.
Yes
No
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32. OPTIONAL: If you are applying for funding for a specific project within your
organization, you are welcome to share a project budget for that program.
You can send this project budget (optional) to [email protected]. Please confirm below
whether you are sharing a project budget.
Mark only one oval.
Yes
No
33. OPTIONAL: If your organization has official financial statements available ­ including
(1) an income statement and (2) a balance sheet ­ please email these to
[email protected].
Please note whether you will share your income statement and balance sheet with
[email protected].
Mark only one oval.
Yes
No
34. Organization's Top Funders
Please list: Name ­ Amount of Funding ­ Year Received. Please indicate which, if any, of
these funders are likely to be recurring.
Thank you!
To inform Spark staff about your submission, please email: [email protected] with the subject line "Application Submitted ­ NAME OF ORG". We understand your time is valuable and appreciate your thorough completion of Spark's grant application. Spark's staff will review your application to determine if your organization meets Spark's grant­making criteria. For additional information on Spark's grant­making process, including timelines, grant amounts and more, please refer to the Spark Guide to Grant Applicants (available on website: https://www.sparksf.org/apply).
Additional Information
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35. OPTIONAL: Is there anything else you would like us to know about your organization?
(This section can include references.)
(1600 character max ­ roughly 200 words)
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