Grant Development Client Info
Name
*
First Name
Last Name
Organization Name:
*
Your title or role:
*
E-mail:
*
Phone Number:
*
-
Area Code
Phone Number
Time Zone
Website URL:
*
Type N/A if not applicable
What is your organization’s mission?
*
What is your long-term vision?
*
Annual Operating Budget:
Do you operate on a calendar or fiscal year?
If fiscal year, please specify when it begins
Date Org. Received 501(c)(3) Nonprofit Status
If not applicable or other nonprofit status, please note
Goal #1:
Goal #2:
Goal #3:
Do you perceive any challenges or struggles in achieving your goals?
*
Funding Needs
Have you received grant funds in the past?
On a scale of 1 – 10, how committed are you to creating more efficiency, effectiveness and fundability and to finally position your nonprofit for ongoing success and sustainability? (1 = not at all committed, 10 = we’re ready to do whatever it takes!)
*
1
2
3
4
5
6
7
8
9
10
Worst
Best
1 is Worst, 10 is Best
Submit
Should be Empty: