Appalachian Community Fund Technical Assistance Application APPLICATION DEADLINE: No Deadline However, please allow at least three weeks to process the request. Email: Please read the application instructions before you begin. To complete the cover page and budget, click in the blank gray spaces and begin typing. Use the mouse to move between fields. Organizational Background Organization Name Address City, State Zip Code Phone Number Fax Number ebsite Organization Email Contact Person (include title) Contact Phone Number Contact Email Do you have 501(c)(3) status? Yes No If yes, list your EIN If no, list your Fiscal Sponsor’s name Fiscal Sponsor’s Contact Person Fiscal Sponsor’s and Address EIN Fiscal Sponsor Fiscal Sponsor Email Phone If yes, indicate which year and Have you applied for funding from Yes No which program. (i.e. General Fund, ACF in the past? Technical Assistance, etc.) Current Fiscal Year Budget Project Budget Requested Amount Does your work address a new or How long have you been doing Yes No an emerging issue? this work? Key issues that your organization/project is addressing: Board Leadership Fundraising; Long range Financial responsibilities development planned giving; planning management/planning and roles Informing Training fees, Other Legal issues, e.g., Community materials, and incorporation organizing about work travel Summarize Your Proposal: (Do not refer us to your proposal your proposal MUST be summarized here.) Your – summary should include: who you are, your primary constituents, the systems you are addressing, and the change you want to see as a result of your work. Approximately 150 words Budget Information
Appalachian Community Fund Technical Assistance Application APPLICATION DEADLINE: No Deadline However, please allow at least three weeks to process the request. Email: Please read the application instructions before you begin. To complete the cover page and budget, click in the blank gray spaces and begin typing. Use the mouse to move between fields. Organizational Background Organization Name Address City, State Zip Code Phone Number Fax Number ebsite Organization Email Contact Person (include title) Contact Phone Number Contact Email Do you have 501(c)(3) status? Yes No If yes, list your EIN If no, list your Fiscal Sponsor’s name Fiscal Sponsor’s Contact Person and Address Fiscal Sponsor’s EIN Fiscal Sponsor Phone Fiscal Sponsor Email Have you applied for funding from ACF in the past? Yes No If yes, indicate which year and which program. (i.e. General Fund, Technical Assistance, etc.) Current Fiscal Year Budget Project Budget Requested Amount Does your work address a new or an emerging issue? Yes No How long have you been doing this work? Key issues that your organization/project is addressing: Leadership development Fundraising; planned giving; Board responsibilities and roles Long range planning Financial management/planning Legal issues, e.g., incorporation Community organizing Informing about work Training fees, materials, and travel Other Summarize Your Proposal: (Do not refer us to your proposal – your proposal MUST be summarized here.) Your summary should include: who you are, your primary constituents, the systems you are addressing, and the change you want to see as a result of your work. Approximately 150 words Budget Information
Technical-Assistance-Application-2018.docx