Apply for a Belin Foundation Grant

Grant requests submitted before May 10 of each year will be considered at the Trustees’ meeting held in June. Grant requests submitted on or after May 10 but before November 10 of each year will be considered at the Trustees’ meeting held in December.

Grant Application Process

Our grant application process is done online. Please review the approval process and requirements before applying.

Have the following information and documents on hand:

Contact Information
IRS Determination Letter
EIN
Recent Certified Financial Audit (if applicable)
Most Recent Form 990
Financials for Organization & Project
Board Member & Leadership Information
Org Chart

Application Form

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Organization Basic Information

Organization Name*

Organization Email*

Organization Phone*

EIN*

Organization Website

Address*

Street Address Address Line 2 City State ZIP Code

Have you previously applied for a grant from the Belin Foundation?*

Yes

Year(s) Grant Application Submitted

Contact Person Information

Contact Person Name*

First Last

Title

Contact Person Email*

Contact Person Phone*

Organization History, Mission & Goals

Describe the history (including year founded), mission and goals of your organization, and how they relate to the Belin Foundation’s focus areas of education, social services and/or community development.*

Your Funding Request

Time Period Covered by Grant*

Type of Support*

Project/Program

Capital Campaign

General Operating

Emergency

Other

Project Name

Project Website

How will you secure resources to sustain the cost of the project beyond the grant period?

Provide a list of the members of the capital campaign/leadership committee.

You may upload this information later in the Documents section of this form if preferred. Write “Attached” in the box.

Total Amount of Funding Needed

Grant Amount Requested*

If your request is for a multi-year grant, include the multi-year program budget.

Amount Raised Thus Far

List other funding sources, showing the anticipated amounts funded.

What geographic area(s) will be served?*

Approximately how many people will be served?*

Describe the project for which you are requesting funds, or, for general operating or emergency support, your current needs and how the funds will be applied.*

What are your short-, intermediate- and long-term goals for the project? What is your plan to achieve them?

What is the expected impact on the community? What will change as a result of this project?

How will you evaluate (document and measure) the change that occurs?

Please list any community partners working on the same issues and explain how you coordinate with them.*

Please list the principal staff members who will be working on this project/program, along with their qualifications.

You may upload this information later in the Documents section of this form if preferred. Write “Attached” in the box.

Do 100% of your board members provide financial support for this project?

Yes

Additional Organization Information

Total Income of Organization*

Most Recent Fiscal Year

Total Expenses of Organization*

Most Recent Fiscal Year

Current Operating Budget*

Budget for Project

Number of Full-Time Employees*

Number of Part-Time Employees*

Number of Board Members*

Number of Volunteers*

Please list your board members, including their terms, occupations and places of employment.*

You may upload this information later in the Documents section of this form if preferred. Write “Attached” in the box.

Is there anything else you’d like to share about your project that may aid the Trustees of the Belin Foundation in their decision-making?

Financial Statements & Documents

Recent Certified Financial Audit

Max. file size: 15 MB.

If not available, provide the organization’s operating budget for the current fiscal year.

Most Recent Form 990*

Max. file size: 15 MB.

Copy of IRS Letter Determining 501(c)(3) Nonprofit Status*

Max. file size: 15 MB.

One Page Organization Chart*

Max. file size: 15 MB.

Additional Documents

Drop files here or

Max. file size: 15 MB.

You may upload your project staff, capital campaign/leadership and board member lists here instead of typing them into the form. Please give each file a clearly identifiable name.