Organization Information
Organization
*
United Way Agency
*
Please Select
Yes
No
501c3 Designation/Status
*
Please Select
509(a)(1)
509(a)(2)
509(a)(3)
Public Charity
N/A
Agency Classification
*
Please Select
Type I
Type II
Type III (functionally integrated)
Type III (non-functionally integrated)
Mailing Address
*
Chief Executive Officer
*
Title
Contact Person
*
Position
Contact Email
*
Contact Phone
*
-
What are the mission statement and core values of your organization?
*
How do you measure your success in fulfilling your mission?
*
If your organization is faith-based?
*
Please Select
Yes
No
Organization's denomination:
How does your organization address spiritual transformation in the lives of your clients?
Project Information
Brief Description of Project or Program for which funding is requested:
*
Summarized Project Purpose:
*
0/60
Type of Project or Program
*
Please Select
Capital
Program
Operating/Administrative
Total Budget
*
Amount requested from Temple Foundation
*
Target Population
Who will benefit?
*
Estimated number who will benefit:
*
What governance and accountability measures are provided to ensure success of program?
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Evaluation
What are anticipated results?
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What methods will you use to measure your progress?
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Potential Funding
What funds from other sources have been received or are under consideration?
*
Is this a multi-year request?
*
Please Select
Yes
No
Amount Per Year
*
Last year’s approved amount
History/Future of the Project
Is this a new or an on-going project?
*
Please Select
New
Ongoing
If it is to continue beyond this grant period, what plans exist for future funding?
*
Document Uploads
Letter from Executive Director
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Official IRS Determination Letter
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Financials/Project Budget
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Board of Directors/Trustees
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