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*

Clear
Date*

MonthDayYear
Should be Empty:

FISCAL SPONSORSHIP PROGRAM