Initial Grant Request '26-'27

First, give us the basics about your organization and its mission statement. Summarize your grant request, and how it fits with our focus on youth.

Tell us -- either on this form, via a URL or with an attachment -- how you measure your progress.

Finally, attach anything else you think would be helpful to us. If needed, expand on the answers where we only allowed you a few sentences.

When everything is complete, submit your request. You'll get an automated email confirmation that we received it. We'll follow up with you later if we have additional questions.

Organization name

Please do not use any of these characters here: < > : " / \ | ? *

Street Address

Address Line 2

Suite # or other detail (optional)

City

State

Zip

Address

Street Address

Street Address Line 2

CityState

Zip Code

Organization URL

EIN number

Please enter the 9-digit tax ID issued by the IRS to you or parent organization

3-digit NTEE code

Enter your primary NTEE code in 'letter+2digits' format, or Z99 if unknown

Enter the total program budget for your most recently completed fiscal year. If this program is one of several programs your organization runs, enter the annual budget for the total organization. Otherwise, leave that blank.

Program Annual Budget

enter the budget for the program you will describe below

Total Organizational Budget

If your organization runs other programs beyond this one, enter the total org budget here

Mission Statement

What is the 1-2 sentence mission statement for your organization overall?0/50

Request Type

Amount Requested

Summary of Program and Request

In 2-3 paragraphs, please describe:

What you're asking for - amount and purpose
Who you serve - specific populations, ages, and barriers they face
How you help - your approach, not just activities. What makes it effective?
What changes - top outcome you expect (e.g., increased stability, skill development, independence)

Think of this as your elevator pitch. If your mission statement doesn't clearly connect to teens/young adults becoming independent, explain that connection here.

Program and Request

Please be brief -- you can include more detail in an attachment.0/500

Who you serve

For this program, summarize as percentages the ages of who you serve, and if they fit into one or more of the following groups. If you measure how many program participants fit the segment, enter the percentage.

These are not hard and fast requirements. If you think we're missing the right way to capture who you serve, tell us that. For example, if age is not a relevant dimension, enter 100 in 'NA'. If your program is gender-specific, serves a "twoGen" or other multi-generational participants, or bears other relevant distinctions, include those details in the program description and/or your attachments.

Age Groups Served

Rows	% of participants
Under 14
Ages 14-18
Ages 19-25
Over 25
NA

Values should total 100.

Total Percentage

Priority Populations Served

Rows	Actively Served	% participants in category
Justice involved (DYS, probation, diversion)
Youth experiencing homelessness or housing insecurity
LGBTQ , non-binary or gender-fluid
Foster care/DCF-involved youth
Immigrant or refugee youth/families

Approximately what percentage of your organization's budget and staff time is dedicated to direct service delivery to youth, young adults and/or families as opposed to advocacy, policy, research, training, or community education?

Direct Service %

enter as number

Other Activities %

If your program includes therapeutic or clinical elements, check all that apply:

Therapeutic Integration

Other

Summary of Impact

How do you measure your progress? List briefly and, if possible, distinguish between:

Impact: long-term, fundamental changes in the lives of beneficiaries or in broader societal conditions. They answer: "Did we change lives or solve the problem?" Example: 'Youth maintain stable housing 12 months post-program'
Outcomes: medium-term changes in knowledge, behavior, attitudes, or circumstances resulting from your programs. They answer: "What changed for participants because of our work?" Example: PHQ-9 scores improve by average of 6 points,' '75% complete workforce training'
Outputs: direct products of your activities—what you deliver. They answer: "What did we do and how much?" Example: '120 counseling sessions provided'

If you have this information in an Outcomes Report or Annual Report, either on-line or in an uploadable attachment, you can skip this or enter "See attached" here. Add the URL or attachment below.

Summary of Impact

0/600

Outcomes URL

If you have an Outcomes or Annual Report available on-line, please enter the URL here. Otherwise, please upload in Attachments below.

Attachment(s)

Expand on the summary you entered above. Attach documents such as an Annual Report or summary of Impact/Metrics that will give us a better understanding of how your organization/specific project fits with our priorities and how you measure impact.

Name

First NameLast Name

First Name

Last Name

Title

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Date

Request title

Boston: Initial Grant Request

Summary of Program and Request

Who you serve

Summary of Impact

Your contact info: