FY25 JFSA Allocation Application
Name of Agency
*
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
Idaho
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Louisiana
Maine
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Michigan
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Montana
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Nevada
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New Mexico
New York
North Carolina
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Agency Phone number
*
Website
*
Tax ID
*
Agency Mission Statement
*
Person Completing Form
Position Title
*
First name
*
Last name
*
Phone number
*
Email Address
example@example.com
Grant Lead
Position Title
*
First name
*
Last name
*
Phone number
*
Email Address
example@example.com
Please upload a roster of your agency's current Board of Directors
*
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Include the following:1. First and Last Name 2. Position on Board 3. Email Address4. Mobile Number5. If they have made a contribution to your agency (yes/no)
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How many programs are you submitting for?
*
Please Select
1
2
3
4
5
6
7
8
Program #1
Program #1
Name of Program
*
Has this program previously been funded by Federation?
*
Yes
No
Number of years this program has been funded by Federation
*
*number only
Is this a new program to the San Antonio Jewish community?
*
Yes
No
Amount agency is requesting from Federation for this program
*
Estimated number of participants to be served by program
*
Of those estimated to be served, what percentage do you anticipate being Jewish?
*
Other Sources of Program Funding
Do you have funding from other sources?
*
Yes
No
How many additional sources do you have funding from?
*
Please Select
1
2
3
4
5
6
Name of Source #1
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #2
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #3
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #4
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #5
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #6
*
Amount
*
Status
*
Please Select
Secured
in progress
Upload an Excel file of the budget for this program
*
Browse Files
Drag and drop files here
Choose a file
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Provide a brief description of your program (purpose, objectives, implementation strategy).
*
What unique service does this program provide to the Jewish community? Does the program duplicate or support existing services? If so, why and/or how?
*
How are you expanding the audience eligible to receive your organization’s services? What outreach are you performing? If you are not expanding this base, please explain why.
*
What are your expected measurable outcomes for the program? How will you know you have succeeded?
*
How do you plan on recognizing Federation's gift with your constituents?
*
Program #2
Program #2
Name of Program
*
Has this program previously been funded by Federation?
*
Yes
No
Number of years this program has been funded by Federation
*
*number only
Is this a new program to the San Antonio Jewish community?
*
Yes
No
Amount agency is requesting from Federation for this program
*
Estimated number of participants to be served by program
*
Of those estimated to be served, what percentage do you anticipate being Jewish?
*
Other Sources of Program Funding
Do you have funding from other sources?
*
Yes
No
How many additional sources do you have funding from?
*
Please Select
1
2
3
4
5
6
Name of Source #1
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #2
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #3
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #4
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #5
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #6
*
Amount
*
Status
*
Please Select
Secured
in progress
Upload an Excel file of the budget for this program
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Provide a brief description of your program (purpose, objectives, implementation strategy).
*
What unique service does this program provide to the Jewish community? Does the program duplicate or support existing services? If so, why and/or how?
*
How are you expanding the audience eligible to receive your organization’s services? What outreach are you performing? If you are not expanding this base, please explain why.
*
What are your expected measurable outcomes for the program? How will you know you have succeeded?
*
How do you plan on recognizing Federation's gift with your constituents?
*
Program #3
Program #3
Name of Program
*
Has this program previously been funded by Federation?
*
Yes
No
Number of years this program has been funded by Federation
*
*number only
Is this a new program to the San Antonio Jewish community?
*
Yes
No
Amount agency is requesting from Federation for this program
*
Estimated number of participants to be served by program
*
Of those estimated to be served, what percentage do you anticipate being Jewish?
*
Other Sources of Program Funding
Do you have funding from other sources?
*
Yes
No
How many additional sources do you have funding from?
*
Please Select
1
2
3
4
5
6
Name of Source #1
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #2
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #3
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #4
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #5
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #6
*
Amount
*
Status
*
Please Select
Secured
in progress
Upload an Excel file of the budget for this program
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Provide a brief description of your program (purpose, objectives, implementation strategy).
*
What unique service does this program provide to the Jewish community? Does the program duplicate or support existing services? If so, why and/or how?
*
How are you expanding the audience eligible to receive your organization’s services? What outreach are you performing? If you are not expanding this base, please explain why.
*
What are your expected measurable outcomes for the program? How will you know you have succeeded?
*
How do you plan on recognizing Federation's gift with your constituents?
*
Program #4
Program #4
Name of Program
*
Has this program previously been funded by Federation?
*
Yes
No
Number of years this program has been funded by Federation
*
*number only
Is this a new program to the San Antonio Jewish community?
*
Yes
No
Amount agency is requesting from Federation for this program
*
Estimated number of participants to be served by program
*
Of those estimated to be served, what percentage do you anticipate being Jewish?
*
Other Sources of Program Funding
Do you have funding from other sources?
*
Yes
No
How many additional sources do you have funding from?
*
Please Select
1
2
3
4
5
6
Name of Source #1
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #2
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #3
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #4
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #5
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #6
*
Amount
*
Status
*
Please Select
Secured
in progress
Upload an Excel file of the budget for this program
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Provide a brief description of your program (purpose, objectives, implementation strategy).
*
What unique service does this program provide to the Jewish community? Does the program duplicate or support existing services? If so, why and/or how?
*
How are you expanding the audience eligible to receive your organization’s services? What outreach are you performing? If you are not expanding this base, please explain why.
*
What are your expected measurable outcomes for the program? How will you know you have succeeded?
*
How do you plan on recognizing Federation's gift with your constituents?
*
Program #5
Program #5
Name of Program
*
Has this program previously been funded by Federation?
*
Yes
No
Number of years this program has been funded by Federation
*
*number only
Is this a new program to the San Antonio Jewish community?
*
Yes
No
Amount agency is requesting from Federation for this program
*
Estimated number of participants to be served by program
*
Of those estimated to be served, what percentage do you anticipate being Jewish?
*
Other Sources of Program Funding
Do you have funding from other sources?
*
Yes
No
How many additional sources do you have funding from?
*
Please Select
1
2
3
4
5
6
Name of Source #1
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #2
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #3
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #4
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #5
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #6
*
Amount
*
Status
*
Please Select
Secured
in progress
Upload an Excel file of the budget for this program
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Provide a brief description of your program (purpose, objectives, implementation strategy).
*
What unique service does this program provide to the Jewish community? Does the program duplicate or support existing services? If so, why and/or how?
*
How are you expanding the audience eligible to receive your organization’s services? What outreach are you performing? If you are not expanding this base, please explain why.
*
What are your expected measurable outcomes for the program? How will you know you have succeeded?
*
How do you plan on recognizing Federation's gift with your constituents?
*
Program #6
Program #6
Name of Program
*
Has this program previously been funded by Federation?
*
Yes
No
Number of years this program has been funded by Federation
*
*number only
Is this a new program to the San Antonio Jewish community?
*
Yes
No
Amount agency is requesting from Federation for this program
*
Estimated number of participants to be served by program
*
Of those estimated to be served, what percentage do you anticipate being Jewish?
*
Other Sources of Program Funding
Do you have funding from other sources?
*
Yes
No
How many additional sources do you have funding from?
*
Please Select
1
2
3
4
5
6
Name of Source #1
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #2
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #3
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #4
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #5
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #6
*
Amount
*
Status
*
Please Select
Secured
in progress
Upload an Excel file of the budget for this program
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Provide a brief description of your program (purpose, objectives, implementation strategy).
*
What unique service does this program provide to the Jewish community? Does the program duplicate or support existing services? If so, why and/or how?
*
How are you expanding the audience eligible to receive your organization’s services? What outreach are you performing? If you are not expanding this base, please explain why.
*
What are your expected measurable outcomes for the program? How will you know you have succeeded?
*
How do you plan on recognizing Federation's gift with your constituents?
*
Program #7
Program #7
Name of Program
*
Has this program previously been funded by Federation?
*
Yes
No
Number of years this program has been funded by Federation
*
*number only
Is this a new program to the San Antonio Jewish community?
*
Yes
No
Amount agency is requesting from Federation for this program
*
Estimated number of participants to be served by program
*
Of those estimated to be served, what percentage do you anticipate being Jewish?
*
Other Sources of Program Funding
Do you have funding from other sources?
*
Yes
No
How many additional sources do you have funding from?
*
Please Select
1
2
3
4
5
6
Name of Source #1
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #2
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #3
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #4
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #5
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #6
*
Amount
*
Status
*
Please Select
Secured
in progress
Upload an Excel file of the budget for this program
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Provide a brief description of your program (purpose, objectives, implementation strategy).
*
What unique service does this program provide to the Jewish community? Does the program duplicate or support existing services? If so, why and/or how?
*
How are you expanding the audience eligible to receive your organization’s services? What outreach are you performing? If you are not expanding this base, please explain why.
*
What are your expected measurable outcomes for the program? How will you know you have succeeded?
*
How do you plan on recognizing Federation's gift with your constituents?
*
Program #8
Program #8
Name of Program
*
Has this program previously been funded by Federation?
*
Yes
No
Number of years this program has been funded by Federation
*
*number only
Is this a new program to the San Antonio Jewish community?
*
Yes
No
Amount agency is requesting from Federation for this program
*
Estimated number of participants to be served by program
*
Of those estimated to be served, what percentage do you anticipate being Jewish?
*
Other Sources of Program Funding
Do you have funding from other sources?
*
Yes
No
How many additional sources do you have funding from?
*
Please Select
1
2
3
4
5
6
Name of Source #1
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #2
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #3
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #4
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #5
*
Amount
*
Status
*
Please Select
Secured
in progress
Name of Source #6
*
Amount
*
Status
*
Please Select
Secured
in progress
Upload an Excel file of the budget for this program
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Provide a brief description of your program (purpose, objectives, implementation strategy).
*
What unique service does this program provide to the Jewish community? Does the program duplicate or support existing services? If so, why and/or how?
*
How are you expanding the audience eligible to receive your organization’s services? What outreach are you performing? If you are not expanding this base, please explain why.
*
How do you plan on recognizing Federation's gift with your constituents?
*
What are your expected measurable outcomes for the program? How will you know you have succeeded?
*
Financial Uploads
III. Financial Uploads
Audited financial statement
*
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Audited financial statement for the period ending June 30, 2022, or June 30, 2023 (or equivalent end of year date as established by the applying agency’s fiscal calendar).
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IRS Determination Letter
*
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Most recent monthly financial statements, including a current statement of financial position and statement of activities
*
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The P&A committee is particularly interested in seeing how the applying agency regularly reports to its Board of Directors.
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Budget Forms
*
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Include:1. Description of major anticipated budget changes for ongoing programs.2. Detailed full agency budget actuals for the current and previous fiscal years (FY24, FY23).3. Proposed full agency budget for the upcoming fiscal year (FY25) (with information regarding agency Board or Executive Committee approval, if applicable).
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Suggested Documents
Strategic Plan
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Board Adopted Security Plan
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Cancel
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Save
Submit
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