Please Note: This Form Is a Letter of Inquiry. It Does Not Constitute a Formal Grant

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Ohio Common Grant Form
LETTER OF INQUIRY

Please Note: This form is a Letter of Inquiry. It does not constitute a formal grant application to GAR. Rather, we use it to collect information about your project so that we can provide guidance as to whether you should submit a formal grant application. A member of our staff will contact you after we receive your Letter of Inquiry to let you know whether you should complete a formal application.

Organization Information

Applicant Organization:
Mailing Address:
City: / State: / Zip:
Telephone: / Fax: / County:
Website:
Executive Director: / Email:
Project Director (if different): / Email:
Title (if different): / Phone:

TAX STATUS

Tax Status (check one): 501(c )(3) Church (by definition) Agency of Government
Not a nonprofit organization; we have a fiscal sponsor.
Fiscal Sponsor Name:
Legal Name, per IRS determination:
Tax ID #: / Date of IRS letter:

oRGANIZATION’s mission

Brief statement of organization’s objectives and/or activities:
Annual operating budget: $ / Is your organization audited annually? Yes No

summary of request

Funder to which inquiry is directed: / Date of inquiry:
Project/Program Title:
Type of Support (please check one): Operations Program/Project Capital
Capacity Building
If you checked Program/Project above, please indicate one of the following:
New Program Continuing support of existing program
Expansion of existing program
Total Project/Program Budget: $
Amount requested: $
Timeframe for amount requested: / From: / To:
Describe use of funds requested: (i.e. staff costs, consultant fees, materials)

project/program summary

Summary of Project or Program (suitable description to be shared with Foundation staff, board, and/or donors) 150 words or less.
Who will this project/program serve? (special populations, geographic area, community focus, organizational focus, etc.)
Provide one or more measurable outcomes you expect to achieve. Be specific (e.g., “In 2007, 90% of program participants will show improved reading scores as measured by standardized tests.”)
Please list other support you are seeking from foundations/government agencies, as well as any potential partnerships with other nonprofits on this project.

COMMENTS

Is there any other information we might need to better understand your request and/or the unique needs of the community that this request will serve?

Please Note: This form is a Letter of Inquiry. It does not constitute a formal grant application to GAR. Rather, we use it to collect information about your project so that we can provide guidance as to whether you should submit a formal grant application. A member of our staff will contact you after we receive your Letter of Inquiry to let you know whether you should complete a formal application.

Thank you. The funder will review your inquiry. He or she may request additional information or a full proposal, or will inform you that the funding organization is unable to support your request.

Updated: 5/20/10