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Standard grantee information form

Your information

Your name

*

Raft fiscally-sponsored project name

*

Grant program name

*

The name of the grant distribution program that has been approved by Raft.

Contact information

Grantee contact first name(s)

*

The primary person we should be in contact with at the grantee.

Grantee contact last name(s)

*

Again, the primary person we should be in contact with at the grantee.

Grantee contact email address

*

Will the grantee contact sign the agreement on behalf of the grantee?

*

Will the grantee contact sign the agreement on behalf of the grantee?

A

Yes

B

No, someone else will

Grantee information

Name of grantee program being supported

*

The name of the program of the grantee receiving support; may or may not differ from the grantee organization name.

Is the grantee program a fiscally sponsored project?

*

Note: we are able to make grants to programs that are not fiscally sponsored! Just asking. If applicable, use the fiscal sponsor's information for the rest of this section.

Is the grantee program a fiscally sponsored project?

A

Yes, it has a fiscal sponsor

B

No, the grantee is an independent entity

Is the grantee based in the United States?

*

Is the grantee based in the United States?

A

Yes

B

No

Which of the following describes the grantee legal entity?

*

Again, if the program is fiscally sponsored, use the sponsor's information.

Which of the following describes the grantee legal entity?

A

501(c)(3) public charity

B

Another type of nonprofit (domestic or international)

C

A for-profit entity (includes coops, LLCs, and more)

D

An individual

Grantee legal name

*

The legal name of the organization, fiscal sponsor, or individual that will receive the funds.

Grantee address

*

Address of the organization, fiscal sponsor, or individual.

On what day does the grantee's fiscal year end?

*

For example, "December 31" (most commonly) or "June 30"

Grant information

Total grant amount

*

Should the grant be distributed as soon as possible, or on/near a particular date?

*

Should the grant be distributed as soon as possible, or on/near a particular date?

A

Please move forward as soon as possible

B

The grant should be distributed on or near a particular date

By when must the funds be used?

*

By when must the funds be used?

A

The standard, within one year, works for us

B

By a certain date

Disbursement schedule

*

Disbursement schedule

A

Single grant distribution, beginning of grant period

B

50% at beginning of grant period, 50% halfway through

Will you require a mid-term report?

*

This is not required.

Will you require a mid-term report?

A

Yes

B

No

Describe the high-level purpose of the grant in 200 characters or less

*

Please write it in such a way that it can follow the phrase, "specifically for..."