HQ21 | FIVE01CORE Application Form

EMPOWER PROJECT Grant Application
About Us:
New Hope Project (a non-profit 501c3) and FIVE01CORE, Divisions of HQ21 Headquarters, a company that is committed to advancing the well-being of children, families and veterans in our communities. We envision flourishing communities made up of safe, thriving, and diverse sectors, strengthened by dynamic leadership that empowers the communities to fully participate in all levels of society.

Our Mission: Working together to provide mentorship, leadership and opportunities to empower the youth to thrive and create lasting changes in their lives and communities

About Our Grants:
Each year, New Hope Project (a non-profit 501c3) and FIVE01CORE will distribute funds to organizations that serve the community in accordance with our mission and values. Both established nonprofit organizations and emerging community-based organizations may receive grants to support the important work they do. Grants are awarded through an application process overseen by the New Hope Project Board. Each grant is unique to the project and is based on available funds and Board approval.

What We Fund:
The New Hope Project Grant Funds can be used for any purpose determined by the New Hope Project Board. Restrictions will be put in place with each Grant and will be specific to the Grant given. The process may include but not limited to site visits, reports, approvals, signatures, audits, phone conversations, and emails as a follow-up to the application process by the HQ-21 Managment Team.

Grantees will be expected to provide a final report on the impact of their grant, date TBD.

Eligibility:
Applicants must either be a registered 501(c)3 nonprofit organization or we may require you to utilize a fiscal sponsor if unincorporated and Board requires. We encourage community-based, grassroots, and emerging organizations to apply. Organizations that have budgets of less than $500,000 will be given priority consideration during the grantmaking review.

The following are not eligible to apply: political parties, organizations for specific candidates, political action committees and/or any organizations that exist to support them; governments and municipal organizations.
Note: Please review all of the application questions below and required documents that need to be included.

Documents you will need to upload with your submission include the following:
- Pitch Deck (you will need to create)
- Project Summary (Form provided below)
- Executive Summary (Form provided below)
- IRS determination letter (for applicants that are incorporated nonprofit organizations)
- Letter of support from fiscal sponsor (for unincorporated entities) (If Board Requires)
- Current fiscal year operating budget document showing projected budget and actual expenditures to date, as well as prior year's budget and actual expenses. Use any format or document type.
- Most recent IRS Form 990 (for incorporated nonprofit organizations)
- Audited financial statements (for incorporated nonprofit organizations that are independently audited)
  
  Any questions please email: admin@hq-21.com.
Project Summary Template *Required Form
Executive Summary Template *Required Form

REQUESTED FUNDING AMOUNT?*
FUNDS TO BE USED FOR:*

0/500
1. Organization Information
Organization Name:*
If using a Fiscal Sponsor, Name of Sponsoring Organization:
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail:*
example@example.com
Alternate E-mail:
example@example.com
Website:
Phone Number:*
Alternate/Cell Phone Number:
Executive Director:*
Primary Contact (if different from above):
Organization Type:*

501(c)3 Nonprofit OrganizationUnincorporated, Using Fiscal SponsorOther
Year Founded:*
Provide a brief summary of your organization's history and background (max. 500 words):*

0/500
Provide a brief summary of your organization’s programs and service statistics, highlighting the past year (max. 500 words):*
What are your organizations three greatest successes? What are your challenges?*
2. Demographics
Briefly describe how your organization ensures that communities are served in a culturally appropriate manner?*
Briefly describe your organization’s target population, constituents, and geographic communities.*
3. Sustainability and Funding
Briefly describe how your organization operates in a manner that ensures its sustainability for the future:*
In the space below, please identify your three largest funding sources and the amount of funding provided by each source.
Largest Funder #1
Name
Largest Funder #1
$ Amount
Largest Funder #2
Name
Largest Funder #2
$ Amount
Largest Funder #3
Name
Largest Funder #3
$ Amount
4. Document Upload

Upload all applicable documents listed below. Click on the "Browse..." button to select a file from your computer. You can upload any common file format (PDF, .doc, .docx., .xls, .xlsx, etc.)
IRS Determination Letter (for incorporated nonprofit organizations):

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Letter of support from fiscal sponsor (for unincorporated entities only):

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Current fiscal year operating budget document showing projected budget and actual expenditures to date, as well as prior year's budget and actual expenses. Use any format or document type.*

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Most recent IRS Form 990 (for incorporated nonprofit organizations):

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Audited financial statements (for incorprated nonprofit organizations that are independently audited):

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Completed Project Summary *

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Completed Executive Summary*

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Completed Pitch Deck*

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Should be Empty:

EMPOWER PROJECT Grant Application

1. Organization Information

2. Demographics

3. Sustainability and Funding

In the space below, please identify your three largest funding sources and the amount of funding provided by each source.

4. Document Upload