Letter of Intent **Please feel free to use this actual form or simply answer all of the questions (in the order as shown) as part of your own proposal. Send completed proposals to: Mark Reisbaum Director of Grants Jewish Community Endowment Fund 121 Steuart St. San Francisco, CA 94105 Part 1 of 3: Which Fund are you applying to? Date of Application: Jewish Community Endowment Fund funding areas: Please review the following categories and select the one below that best fits the description of your project. 1. Emergency needs and for needs with time constraints in the local and overseas Jewish community. (Jewish Community Endowment Fund) 2. Seed funding for innovative ways of addressing problems or providing services, research, scholarships or training opportunities in the areas of social welfare, health, education, community relations and culture. (Jewish Community Endowment Fund) 3. Education and youth with a preference for programs that address leadership development and training, children with special educational needs and needy Jewish students. (Kohn Fund) 4. Education, health, religion and aging addressed in an innovative way with a focus on the Jewish community. (Newhouse Fund) 5. Jewish elderly within the San Francisco-based Jewish community area. (Maimonides Fund) 6. Pilot projects which promote Holocaust education as broadly as possible in Bay Area public, private, parochial schools and colleges, and special Holocaust-related research and education programs. (Holocaust Memorial/Education Fund)
7. Other Make a check next to the fund that best fits the project description as listed above. Part 2 of 3: Organization Background Organization Name: Date 501 (c) (3) or registered charitable status obtained:
(Month/Day/Year)
Tax ID Number: (If applicable) Fiscal Agent Name: If this is a collaboration among two or more organizations, please list the other collaborating organizations:
Organization Contact Information: Prefix: First Name: Middle Name or Initial: Last Name: Suffix: Title: Address:
City: State: Country: Postal or Zip Code: Phone: Fax: Other Phone: E-mail Address: WWW Address: Amount of annual organizational operating budget for the coming year:
(USD)
Part 3 of 3: Program Description Name and Brief Description of the Program:
(50 words or less)
Please explain what communal need this program addresses and what value-added your agency will provide in meeting this need:
(150-word limit)
Amount of project or program budget:
(USD)
Program Design: (what the program will do, look like, be, etc.)
(100 word limit)
Target Audience: (who will be served, how many?)
(50 words or less)
Geographic Reach:
Please describe the specific concrete, measurable outcomes which will be achieved in the course of this project: (e.g. how will participants benefit from this program; how will the community benefit?)
(150 words or less)
Describe the plan to evaluate the impact of the program.
(100 words or less)
How does the applicant intend to continue support for the project after the grant?
(100 words or less)
Additional Information (Requested for tracking purposes - will not affect the consideration of your application) The Jewish Community Endowment Fund is very interested to know how you heard about the work we do. Please be as specific as possible (i.e. name of Internet search engine, publication, individual or organization referring). Referral by: