LeadUS Mentoring Program 2015-16

NPO Centric, as a program of the RAP Foundation, offers qualifying organizations Fiscal Sponsorships, bringing them under the "umbrella" of the RAP Foundation's tax-exempt status.
In order to be considered for fiscal sponsorship, please fill out the following fields completely, and a member of the NPO Centric staff will contact you within 48 hours.

Organization Information
Organization's Name*
Contact Person*

First NameLast NameTitle
Mobile Number*

Area CodePhone Number
Alternate Phone

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Facebook Profile
Twitter Profile
Website
How long has your organization been in operation?*
What is the decision making stucture of your organization? (Advisory Board, etc...)*
Explain the process for decision making?
What areas of Riverside County does your organization serve? *
Do you have a current fiscal sponsor? *
Choose one
If yes, what agency is your current fiscal sponsor?

Short questions
Please answer the following questions to the best of your ability.
What is your organization's mission?*

0/250
Who is your target population?*

0/250
Are you currently in the process of obtaining your 501c3 tax exempt status?*

0/250
If yes, when did you submit your application?

Letter of Interest
Your Letter of Interest is very important for us to better understand who you are, what you do, and why you are in need of a Fiscal Sponsor. Please write your Letter of Interest in no less than 250 words and more than 1000 words based on the prompt below:

Letter of Interest Prompt: Please provide a brief history of your organization, who you serve, what services you provide, and explain why you are seeking a fiscal sponsor. Also, please state what functions and duties you need RAP Foundation to perform.
Letter of Interest*

0/1000

Financial Information
Current Operating Budget for the Fiscal Year*
Average Monthly Expenses*
Do you currently have sufficent revenue to cover the costs of services? If not, is there anticipated future revenue? *
What is your EIN?*
Enter EIN or N/A if you do not have one.
Do you have paid employees?*
Choose One
Do you currently have General Liability insurance? *
Choose One
If no, are there any issues with obtaining General Liability Insurance? *
Choose One

Submission
Is there any other information that you would like to share with us?

0/500
I have reviewed the above Fiscal Sponsor Agreement and understand that upon approval for a fiscal sponsorship our organization will be required to sign a completed agreement.*

Yes, I agree / Understand
In understand that all submission will be considered within 90 days of submission. Fiscal Sponsor requests are initally reviewed by the NPO Centric Committe of the RAP Foundation board, which meets quarterly, and are then forwared to the full board for final consideration. Incomplete submissions will not be considered.*

Yes, I agree / Understand
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