Upload your most recent IRS tax return.
If you prefer to mail a copy, you may send it to: P.O. Box 51, Ormond Beach, FL 32175-0051. Maximum file size 10MB.
Upload your IRS determination letter confirming 501(c)(3) status.
*
Maximum file size 10MB.
Rogers and Waterhouse Foundation Grant Application
Welcome, and thank you for taking the time to apply. We’re grateful for the work you’re doing and look forward to learning more about your organization and proposed project. If you’re not able to complete the application in one sitting, you may save your progress and return using the link sent to your email.
Section 1: Applicant Information
Full Name
*
First Name
Last Name
Organization Name
*
Enter the full legal name of your organization.
Position / Title at Organization
*
Please share your role within the organization.
Email Address
*
example@example.com
Phone Number
*
Include a direct number where we can reach you if clarification is needed.
Format: (000) 000-0000.
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Section 2: Organization Overview
If yes, upload proof of current professional licensure for the therapist(s) involved.
Maximum file size 10MB.
Website URL
*
If your organization does not have a website, please enter N/A.
EIN
*
Enter your organization’s 9-digit federal tax ID number.
How long has your organization been providing services?
*
For example, 3 years, 10 years, or 18 months.
Please describe your organization and the focus of your work.
*
Upload your IRS determination letter confirming 501(c)(3) status.
*
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Maximum file size 10MB.
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Upload your most recent IRS tax return.
Upload a File
Drag and drop files here
Choose a file
If you prefer to mail a copy, you may send it to: P.O. Box 51, Ormond Beach, FL 32175-0051. Maximum file size 10MB.
Cancel
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Section 3: Project Overview
Which type of funding are you applying for?
*
Facility improvements
Partnering humans with animals
Project Name
*
Provide the working or official title of your project.
Requested Funding Amount (USD)
*
Enter the total dollar amount you are requesting.
Anticipated Project Start Date
*
/
Month
/
Day
Year
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Anticipated Project End Date
*
/
Month
/
Day
Year
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In one paragraph, describe what you plan to do and why this project will be impactful.
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Describe the activities, intended outcomes, and the population served.
List the goals you aim to accomplish through this project.
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Provide clear, measurable goals where possible.
In one paragraph, describe how the requested funds will be used.
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Explain how the funds will support improvements to your facility and the impact of those improvements.
Provide an itemized budget outlining how the requested funds will be spent.
*
List projected expense categories and estimated amounts for each category.
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Section 4: Project Structure
If your project involves partnering animals with people, describe the structure of the sessions.
*
Include the number of sessions, length of each session, and describe the activities to be accomplished in each session.
How will you monitor and adjust the program during implementation to ensure success?
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For example, participant feedback, staff observations, surveys, or other methods you will use to identify needed changes.
How will you evaluate the success and outcomes of this project?
*
Describe how you will determine the success of the program.
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Section 5: Team and Partnerships
List any partner organizations involved in this project and include their website links.
*
Briefly describe each partner’s role and provide a direct website link.
Describe the staff and volunteers who will be involved in this project.
*
Include roles and responsibilities for both paid staff and volunteers.
List any staff or volunteers involved in this project who hold certifications relevant to animal advocacy, equine-assisted learning, or therapeutic services.
*
For each person, include their name, the organization they are associated with, and the certification they hold. If none, please write N/A.
Does this project require services be delivered by a licensed therapist?
*
Yes
No
Upload proof of current professional licensure for the therapist(s) involved.
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Maximum file size 10MB.
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Section 6: Scaling and Replication
How would you support other organizations in replicating or adopting this program?
*
Explain how your model could be shared, documented, or adapted by others.
If you are aware of similar programs, briefly describe them and provide website links.
*
Include website links and briefly explain how your program compares or differs.
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Applicant Certification
How did you hear about us?
*
Referred by a board member
Referred by another organization
Word of mouth
Online search
Event or conference
Other
Applicant Confirmation
*
I certify that the information provided in this application is accurate and complete to the best of my knowledge and that I am authorized to submit this application on behalf of the organization.
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