1. Identity and Eligibility | |
| a. Charity Name | |
| Address | |
| City |
State/Region
.
Zip |
| b. Website URL (if you have one) | |
| c. EIN | |
| d. If your charity has a different legal name or fiscal agent, please enter it here: (optional) | |
| Why different? (optional) |
. |
| e. What is your approximate annual budget? | |
| | |
| 2. CEO Name | |
| CEO Title | |
| CEO Email | |
| CEO Phone | |
| | |
| 3. Second Contact Person | |
| Name | |
| Title | |
| Email | |
| Phone | |
| | |
| 4. Field of Philanthropy |
. |
If your charity does not fit any of these fields, please explain.
(optional) | |
| 5. Proposal Type |
. |
6. If you are applying for a
Progress Report re-listing, please provide: |
| year listed | |
| staff numbers then | |
| staff numbers now | |
| budget then | |
| budget now | |
| | |
| 7. When was your charity founded, by whom, and why? | |
| 8. What is your mission? What do you do? | |
| 9. What have been your greatest accomplishments? If you are applying for a re-listing as a Progress Report, please add to those your greatest accomplishments since your original listing. | |
| 10. What is the evidence of your excellence? | |
| 11. How are you especially cost-effective? | |
| 12. If this is for a re-listing Progress Report, how have you benefited from being listed in the Catalogue (quantify where possible)? Any Catalogue-donor or volunteer stories? | |
| | |
| | |
| 13. If this is for a new listing, how did you hear about the Catalogue? |
. |
| Any details? -or- Other method? (optional) | |
| 14. List of current trustees, with institutional affiliations | |
| | |
15. Hardcopy submissions by U.S. Post Office (no FedEx/UPS/etc please) postmarked by Friday, April 4, 2008
a. Copy of page 1 of your IRS determination letter
b. 2008 budget
c. Most recent audited financial report, if possible
|