The application times out every 15 minutes, so we recommend that you cut, paste, answer, and save the following questions in a Word document. After you have answered all the questions, please paste your final version into the online grant application. Please note that there are other questions on the application that require you to select an answer from a drop-down menu.
- Please list the name, title, annual salary, and racial/ethnic identity of each member of your agency’s leadership team. Please also include a brief biographical sketch of each leadership team member. Limit response to 300 words.
- Please include your organization’s statement of inclusiveness which indicates that services are provided without discrimination. This should be more than just your organization’s hiring practices. Limit response to 100 words.
Organization Information
- Enter the contact information for your organization, including name, mailing address, phone, and fax (optional), as well as a 100-word description of your organization and its mission.
- Enter the name of the primary contact for this request.
- Enter the name of your organization’s Executive Director/President or CEO
- Please list the staff member that handles media and communications.
Common Application
- Please describe any significant changes within the organization in the last year. Examples of major changes include rebranding, new programming, organizational policy change, change of major funding sources, and staff transition. Limit response to 500 words.
- What are your organization’s overall goals for the upcoming year? Your response to this question should include a description of your top strategic initiatives for the upcoming year. Limit response to 400 words.
- How many individuals will be served by your organization in the upcoming year? Please break the numbers down by the target population and/or program. Limit response to 400 words.
- What emerging trends, changes in the community, and/or changes in your service area do you anticipate impacting your work in the grant term and beyond? Examples include shifts in the political climate, changes in client needs, improvements in the clinical landscape, etc. Limit response to 600 words.
- What is the biggest challenge faced by your organization? (500-word limit) Please consider challenges from the previous year and those you anticipate during the grant term. We understand fundraising is typically a challenge for nonprofits. Please only describe fundraising challenges if they are unusual or unexpected, such as the loss of a major funding source. Limit response to 500 words.
Outcomes
- Please list the measurable outcomes that your organization hopes to accomplish in the upcoming year. Your outcomes should be measurable, and at least 50% of your stated outcomes should have positive health implications. Please use The Trust’s outcome format: Of 500 patients with diabetes, 350 (70%), will have an A1C of 9 or less by the end of the project period. Limit your response to 250 words.
Required Attachments
- Unaudited Profit and Loss Statement or Statement of Activities that includes aggregate year-to-date data rather than month by month statements. This attachment for the year-to-date period should 1) show at least six months of activity AND 2) be through the most recently completed quarter or the prior quarter.
- Unaudited Balance Sheet or Statement of Financial Position for the most recently completed month or the month prior to the full proposal deadline.
- Organization Chart with employee titles and names. Please upload your chart as a PDF file.
- If applicable, include the management letter (may be called the SAS 115 letter) from your auditors reporting on any internal controls matter identified in the financial audit. Note: this is a separate letter to the Board of Directors not included in your audit.
Please contact Sumita Keller for questions about Operating Grants that address healing from abuse, neglect, and violence at (615)284-8271.
Please contact Catherine Smith for questions about Operating Grants that address recovery from substance abuse at (615)284-8271.
Please contact Sam Jackson for questions about Operating Grants that address physical health and mental health at (615)284-8271.
