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Grant Writing Consulting
Provide us additional information to help us determine how best to serve your grant writing proposal needs. This will take 4-6 minutes to complete.
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1
* Grant Writing Request
*
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2
Contact Information
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3
Full Legal Organization Name
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4
Street Address
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5
City
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6
State
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
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7
Zip Code
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8
Organization Website
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9
Organization President / Executive Director
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10
Your Title
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11
Your Phone Number
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12
Your E-Mail Address
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13
* Grant Writing Request *
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14
Organization Information
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15
501(c)(3)?
Yes
No
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Year Established
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17
Fiscal sponsor name
If applicable
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18
Fiscal sponsor address
If applicable
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19
Total Organization Budget
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20
Total # of Board Members
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21
Total # of Staff
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22
Total # of Volunteers
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23
Organizational Mission Statements
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24
Brief Description of Organization
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25
Population Served
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26
Grant Writing Request
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27
Proposal Request
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28
Program / Project Name
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29
Total Program Budget
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30
Requested Amount
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31
Type of Request
Capacity Building
Capital Campaign
General Operating
Multi-Year Project
Program Support
Start Up
Capacity Building
Capital Campaign
General Operating
Multi-Year Project
Program Support
Start Up
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32
Grant Period From
-
Date
Month
Day
Year
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33
Grant Period To
-
Date
Month
Day
Year
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34
How does your organization currently get most of its financial support?
ex: grants 40% of your operating budget, 25% individuals, 5% churches, 15% special events, 10% corporations, 5% investments.
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35
List actual grants you have received & not received for the last year.
Provide grant name, agency and amount awarded
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36
List the 3 nonprofit organizations that provide similar programs/services to your organization.
Provide grant name, agency and amount awarded
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37
Multi-Year?
Yes
No
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38
Geographic Area Served
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39
Priority funding areas
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40
Most recent grants received:
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41
Grant Award 1
Grant name, grantor, amount & date
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42
Grant Award 2
Grant name, grantor, amount & date
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Grant Award 3
Grant name, grantor, amount & date
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Grant Award 4
Grant name, grantor, amount & date
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45
What else would you like to share about your request?
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46
Appointment Availability
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