Date
/
Month
/
Day
Year
Date
Applicant Name
Email
example@example.com
Phone
Format: (000) 000-0000.
Organization's name
Where do you consider your organization's home base?
What is your affiliation with Sanford?
Organizational mission
What are your organization's values or driving principles?
Are you
nonprofit,
for-profit or
in the process of establishing 501(c)3?
Have you filed Articles of Incorporation?
Yes
No
Do you have a business plan? (If so, please attach a copy to this application)
Yes
No
Do you have a Board of Directors? If so, who are they?
What are your wildest dreams for Sanford?
What else should we know about you, your organization or your vision?
How do you envision using the space?
What are your needs? Be specific. (Do you require ADA accessibility, space further from group activity, a certain amount of square footage, etc.)
What are your or your organization's long term goals?
With which organizations or community members do you currently collaborate?
Are you willing to engage with folks from all walks of life and from a variety of racial, ethnic, religious and socio-economic backgrounds? If no, please explain.
In what ways do you imagine collaboration and shared goal setting to be beneficial to your organization's mission and vision?
What do you or your organization uniquely bring to the table? What would you like to learn from other partner organizations?
Do you currently have liability insurance?
Yes
No
At what level are you insured?
Are you willing to name us on your insurance as a secondarily insured entity?
Yes
No
Who prepares your budget and financial statements and are you willing to provide copies if deemed necessary?
Have you filed IRS form 990 or 990 N?
Do you have a bank account and can you provide statements for the last 6 months, if requested, for verification of organizational viability?
If approved, when would you envision beginning partnership?
Are you willing to participate in an in-person interview if you are selected to move to the next round? Please note: Most take place on a Monday evening between 5 and 6:30pm but accommodations can be made for schedules as necessary. If Monday evening cannot work for you, please name alternative meeting times that could work for you and any who would need to be included in the interview?
Upon submission of your application, please also include your financial statement, annual budget and any local sponsors which currently support your work.
Thank you for loving our neighborhood and seeking to partner with other folks doing good!
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