Apply For Fiscal Sponsorship

Please feel free to fill as much as you can. You can also leave the fields empty or just write ‘Not Applicable’.

Your Name

First

Last

What is the name of your program/project/organization for which you are seeking fiscal sponsorship?

Where is the location of your project i.e. where activities take place?

If your project will take place outside of the United States, please provide only the Country name.

What is your phone number?

What is your email?

If you have one, what is the website address of your program/project/organization?

Is your program/project/organization currently being fiscally sponsored by another organization?

Yes
No

Is your program/project/organization incorporated as any type of legal entity?

Yes
No

Have you submitted the 1023 (or 1023EZ) form to the IRS for tax exemption and are awaiting your letter of determination?

Yes
No

What model of Fiscal Sponsorship are you seeking?

Model A - Direct Project
Model B - Independent Contractor Project
Model C - Preapproved Grant Relationship
Other

What is the charitable mission and purpose of your program/project/organization?

Please tell us what problem/challenge your project seeks to solve. Please also tell us what the expected positive influences of your project will be including how many people will benefit as a result of your work or any other benefit to community/society.

How does your project seek to solve the challenge/problem?

Please provide a list of current and/or proposed activities that your project will engage in. Please be specific, realistic and as thorough as possible. For example, “We will hold a series of 10 community meetings that bring together stakeholders to examine the issue and make recommendations…” “We will provide an afterschool program for 30 youth, five days/wk for the school year…” “We will produce a weekly podcast…”

Do you currently have funding for your program/project/org?

Yes
No

What is your anticipated revenue budget for the next 12 months? Please note, we would like to see only realistic, achievable fundraising goals.

Do you currently have verified commitments for any your funding?

Yes
No

Do you currently have or expect to apply for any type of government funding (city, county, state, federal)?

Yes
No

Do you plan on trying to sell things to raise money e.g. T-shirts, stickers, etc…?

Yes
No

Will your project have employees?

Yes, plan to have employees
Yes, currently have employees
No

Will your project work with independent contractors?

Yes, plan to work with contractors
Yes, currently work with contractors
No

Do you currently have or plan to work with volunteers?

Yes, plan to work with volunteers
Yes, currently work with volunteers
No

Will your project work directly with any of the following population?

Do you currently have or intend to develop any significant intellectual property?

Yes
No
Not sure

For example: recorded videos, audio; curricula and workshop materials; web applications, etc...

Is there anything else you would like to tell us about your program/project/organization that you feel we should know or understand?

How did you hear about us?