Fiscal Sponsorship Program: Application

FISCAL SPONSORSHIP PROGRAM

APPLICATION
Fiscally sponsored projects must have a legal entity that is responsible for the project, and serve as the recipient of all disbursed funds.
Legal Entity Name

PrefixFirst NameLast Name
Business Ownership Type
Taxpayer ID Type
Taxpayer ID Number
Project Name
Project Address

Street

Street Line 2

CityState / Province

Postal / Zip CodeCountry
Project Type
Project Leader Name
Project Leader Email
Project Leader Contact Number

Area CodePhone Number
Projected Amount To Raise
Example: $1,000.00
Do you plan to fundraise?
Do you plan to sell any merchandise related to the project?
What is the mission of the proposed project?

0/250
What evidence do you have to support the need for the project?

0/250
Describe the geographic and demographic community to be served by the project?

0/250
What impact do you anticipate the project will have on your target population and/or the community at large within two years?

0/250
If successful, what benefits will your project bring within 2 years to those you hope to serve?

0/250
Describe the planned activities of the project and the amount of service to be provided?

0/250
Strategies and/or methods you will use to progressively further the project?

0/250
What financial support has already been committed to the project?

0/250
Describe the plan to raise funds to meet the expenses of the project. The plan should include a mix of revenue sources and not rely soley on grants to foundations?

0/250
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Should be Empty:

FISCAL SPONSORSHIP PROGRAM