2017 Letter of Interest

SVP Denver

2017 Letter of Interest Form

This form can be filled out electronically. Save the document on your computer with your organization’s name. Remember to frequently save your work as the form will not automatically save.

Name of Organization
Organization Address
Fed. Tax ID#
Year Established
Website
Executive Director
Year Appointed
Phone
Email Address
Board Chair
Year Appointed
Phone
Email Address
Grant Contact
Job Title
Phone
Email Address

Number of:

Paid Staff / Volunteers

1. Which counties does your program serve?

AdamsArapahoeBoulderBroomfield

DenverDouglasJefferson Other

2. Mission Statement /Purpose of Organization:

3. Does your organization have a strategic plan?Yes No

If yes, what year was it written and adopted?

4. Are you currently using your strategic plan to guide your business and decision making process?

Yes No

If yes, how are you using your strategic plan?

5. What are your organization’s top goals and priorities over the next 3 years?

A.

B.

C.

6. Describe your organization’s leadership structure.

7. Who are the key leaders and how are decisions made?

8. Describe how your board functions.

Number of Board Members:

Length of Board Terms:

How you use the organization’s by-laws:

How the board works with the Executive Director and staff:

9. Briefly explain your primary program offerings:

10. How do you measure success? Briefly describehow your show that your organization is achieving your desired outcomes.

11. List 3 key organizations that you collaborate with and explain your relationship:

A.

B.

C.

12. Financial Information

FY Ending (Year) / Budget / Net Profit (Loss)
Most Recent Year () / $ / $
Previous Year () / $ / $
Most Recently Completed FY Net Assets: / $
Current Liquid Operating Reserves: / $
Program Budget (if applicable) / $

13. Do you have a fund development plan? YesNo

If yes, please write a few sentences about the plan, accountabilities, and how you are tracking performance.

14. Why does your organization want to apply to SVP and work with SVP?

15. Write a few sentences about 3 potentialstrategic change projects that you want SVP help with. How will SVP assistance help you improve your business operations, service delivery and/or impact on the individuals/families or community served?

A.

B.

C.

16. Briefly tell us about your organization’s experience working with volunteers, high level volunteers and consultants?

Thank you for completing this Letter of Interest.

Please e-mail your completed form to:

ormail it attention Pat Landrum, Executive Director,Social Venture Partners Denver,

55 Madison Street, 8th Floor, Denver, CO 80206

Forms are due March 31, 2017

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