The Human Services Coalition Nonprofit Incubator Program Application

Grant University Checklist

Please use this Checklist to make sure that you have included all of the required documentation. Check each box to finish your application. Submit this completed Checklist, along with your completed Grant University Application. If you have not checked all the boxes below, your application will be denied and returned to you.

Previous Year Financial Statements (i.e., fund balance, income statement, or balance sheet)

Current 990 Form (if applicable)

N/A (please provide explanation):

Budget for PY 2009 or 2010

List of Active Board Members (full names, board positions and phone numbers)

Resume for Executive Director

Federal Tax ID Number or (FEIN) in the applicant’s name

Copy of 501(c)3 Determination Letter from the IRS

Confidentiality Clause: All information provided in this application is confidential and will only be used to assess the capacity of the organization.