'Foundation Proposal Statement of Work'
'Foundation Proposal Statement of Work' document sample
Shared by: cru18323
Effective April 2009, the Foundation eliminated the IRS Determination Letter and the Annual Report or Statement of Activities as required attachments. To verify tax exempt status, the Foundation will rely on Guidestar Charity Check to access Publication 78 and the IRS Business Master File. Tax papers may be requested only if information from these online resources is insufficient. PROPOSAL TO THE WILLIAM PENN FOUNDATION SECTION 1 - COVER SHEET To help us enter your organization's data correctly in our database, we ask that this cover sheet contain all of the information requested, in the order that it appears. If an item does not apply, answer "none" or "n/a." Do not delete the item or leave it blank. If items are missing, it may delay the processing of your proposal. A. General Information about your Organization. Federal Tax ID # Legal Name Division/Department Name Mailing address City/State/Zip code Phone # Fax # General email address Web URL Mission Statement Total Revenue & Support (income from all sources for the most recently completed year) Fiscal Year End Date: B. Contact Information Provide full contact information for each of the following individuals of your organization. Primary Contact Leader of Organization Board Chair Person for Project Name Title Address Email address Phone Number FAX Number C. Key Information About Your Proposal One sentence summary of the purpose for which funds are being requested Total cost for work proposed Total amount requested from WPF Duration of requested funding period SECTION 2: CONTEXT, DESCRIPTION, AND FINANCIAL INFORMATION Complete all items below. While there are no page limits, it is important to be clear and concise. (A) Organizational Background (answer for the organization as a whole) Provide a brief historical background, including accomplishments that relate to the proposed project and the organization’s current strategic plan. List the organization’s goals Describe existing programs and services and how they relate to the organization’s mission and strategic plan Define the geographic area served Describe the constituency served (age, gender, race/ethnicity, income level) (B) Executive Summary of the Entire Project Provide a short (one page maximum) summary of the context, description, and outputs and outcomes for the project for which you are requesting support. (C) Context of the Proposed Work (answer for the specific proposal) Define and document the need for the proposed work and how it relates to your organization’s mission and strategic plan. Include relevant data if available and applicable. Discuss how the proposed work relates to the field. If applicable, mention any proposed collaborations and, if possible, cite research supporting the effectiveness of your proposed strategy and any best practices used in your program development Define as specifically as possible the geographic location of the primary constituency served by the proposed work, if different from organizational background description. For example, a project might cover as broad and area as our entire grantmaking region or be as specific as serving residents in a single municipality, neighborhood, or zip code Describe the primary constituency(ies) that will benefit from the proposed work (age, gender, race/ethnicity, and income level), if different from organizational background description. (D) Description of the Entire Project Describe the proposed activities to be performed to achieve the anticipated outputs and outcomes. If you expect to expand or replicate an existing program, include evidence of that program’s effectiveness (reports, evaluations, articles, etc.) Timetable of key project benchmarks (E) Anticipated Outcomes of the Grant Outputs are the major products and/or the substantial and completed processes that are created to reach outcomes. They occur “in order to achieve” an intended outcome. Outcomes are the desired change(s) or results that the proposed project will eventually accomplish. They follow from the outputs and identify the anticipated change that is the goal of the grant. Please use the Outputs and Outcomes worksheet to complete this section. Indicate the strategic relevance—the Foundation priority and objective or strategy--that your work addresses or advances Describe the expected outputs for this proposal. What short-term accomplishments, products, or other outputs do you expect to achieve in each part of your work during the grant period? By when? Indicate the anticipated grant period outcomes or results. What outcomes or changes do you expect to see and be able to measure in each part of your proposed work by the end of the grant period? Include a timetable for achieving outcomes if requesting multi-year funding. Indicate anticipated post-grant outcomes—those you expect to see two-to-three years after the grant period. Note: Outputs and outcomes should specify measures that will show the evidence or progress of key project benchmarks. (F) A breakdown of funds requested from the Foundation. Include total amount, duration (over x months) and specific purpose (ie: consulting, evaluation, publications, etc.) (G) List the names of all other sources of funding specific to the project. Include the organization name, total amount, and duration of the funding: (a) funds already committed; (b) funds for which you have applied and a commitment is pending; (c) funds for which you will apply (H) Plans for continued support at the conclusion of the requested grant, if relevant. SECTION 3 - REQUIRED ATTACHMENTS These documents must be attached to your completed proposal. In each case the documents should be from the applicant organization (the organization that will receive and administer the funds). 1. Most Recent Financial Statement – The Foundation follows the guidelines below for financial statements. If the statements are not yet complete for the most recently completed fiscal year, the organization should provide a draft or end-of-year statement. Organization Type Financial Type 990 Statements Required Required? Nonprofits Yes Follow State Requirements (see Yes below) Government and Quasi-Public Agencies Yes Government Audit or Financial Report No Universities and Hospitals Yes Annual Report with Audit Information No New/Start Up Organizations Yes Current Operating Budget and 990 Yes Schedule A Schedule A Pennsylvania State Requirements In order to solicit funds in Pennsylvania, all organizations are required to submit financial statements according to the following chart: reviews and compilations provide considerably less testing and verification than full audits. PENNSYLVANIA REGISTRATON REQUIREMENTS Bureau of Charitable Organizations GROSS CONTRIBUTION REVENUE* FINANCIAL STATEMENT REQUIRED (refers to contributed, not earned, income) Greater than $25,000 but less than $50,000 Either Internal Statement, Compilation, Review, or Full Audit Greater than or equal to $50,000 but less than Either Compilation, Review, or Full $100,000 Audit Greater than or equal to $100,000 but less Either Review or Full Audit than $300,000 Greater than or equal to $300,000 Full Audit 2. Operating Budget for the Current Fiscal Year -- For multi-year projects a full operating budget for each year of the request should be included. For universities, the operating budget should reflect the department or school being funded, not the budget for the entire University. 3. Total Project Budget -- The budget should include a list of the detailed costs for the total project and costs to be covered by the proposed request. The budget should list all direct costs including those related to measuring anticipated outcomes. For multi-year projects, a full budget for each year that funds are being requested should also be included. A budget template is available on the Foundation's website for requests from Children, Youth and Families and Environment and Communities applicants. 4. Consultant Information -- If funds are being requested from the Foundation for a consultant, the proposal should indicate: (1) full contact information of the consultant, if available at time of application; (2) total costs per consultant or contract; and (3) consultant's scope of work to be performed. Up to four client references and a detailed description of the qualifications to carry out the proposed work should also be attached. 5. IRS Form 990, including Schedule A (for nonprofits and new/startup organizations only) – If the 990 for the most recent fiscal year is posted on the GuideStar web site (www.guidestar.org), then the organization does not have to include it. Foundation Grants Management staff will download the current version and attach it to the pending request record in GIFTS. 6. Current List of Officers and Board Directors – Include full name, title, and organization affiliation. 7. Profiles of Key Organization Leaders and Staff 8. Amended Articles of Incorporation – required only if an organization recently changed its legal name