The Social Venture Capital Foundation, Inc. (SVCF)

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SVCF

4200 Rosemary St.

Chevy Chase, MD

20815

jeff.svcf@att.net

 

 

Grant Application

Please submit your grant application with no more than 5 pages of supporting or explanatory information.  If your application fits with SVCF priorities, we will contact you for additional information. We are sorry, but we cannot accept telephone inquiries about grant applications at this time in the development of the Foundation.  Grant applications may be submitted by mail to SVCF, 4200 Rosemary St., Chevy Chase, MD 20815, or as an attachment to an email addressed to jeff.svcf@att.net.

Date: ____________________

1.  Name of Applicant Organization: 

_________________________________________________

_________________________________________________

Street Address: 

_________________________________________________

_________________________________________________

Town/City: ________________________________________ 

State: _______

Zip: ______________ 

Phone: (     )__________ Fax: (    )____________ 

E-mail: _________________________________

Name and title of person applying for the grant on behalf of the applicant organization:

________________________________________

________________________________________


2.  Is the applicant organization tax-exempt: Yes __ 
  No ___   Application Pending ____

If yes, please list Employer Identification Number:  

_________________________________________________  

and submit copy of IRS tax-exempt status determination letter.


3.  Charitable or Educational Mission & Purpose of Organization (include identification of the
principal challenges to be addressed):


_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________


4.  Amount of grant request: 

$________________________________________________


5.  Purpose for which grant is requested
(Explain how the grant will help the applicant organization become more entrepreneurial and self-sustaining and/or carry out its charitable or educational mission and purpose more effectively?): 

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

6.  Metrics (outcome measures) to be used in evaluating the near-term or longer term success of the organization: 

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________


7.  Metrics (outcome measures) to be used in evaluating the success of the project for which the grant is being sought:

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________


8.  Pre-project baseline data on the organization and project pertinent to the above metrics (outcome measures): 

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________


9.  Accomplishments of applicant organization and/or
leadership: 

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________


10.  Any other comments pertinent to SVCF's 
Grant Guidelines or Evaluation Criteria:

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

11. Names, addresses, and resumes of Board members and key staff (to be submitted as attachment)

In submitting this grant application, I affirm that any funds granted pursuant to this application will be spent solely for the purposes set forth in this application and in accordance with applicable requirements of the Internal Revenue Code of the United States.  I agree to abide by all record keeping and reporting requirements of the SVCF necessary to ensure compliance with this pledge.  I also agree that the organization for which this grant application is being filed will participate in the SVCF Mutual Support Network.


Signature of Officer Applying for Grant: 

_________________________________________________


Name of Officer Applying (please print): 

_________________________________________________


Title: _____________________________________________


List of Supporting Material Submitted with Grant Application: 

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

_________________________________________________

__________________
Note: In submitting this application I understand that The Social Venture Capital Foundation, Inc. (SVCF) may be unable to respond to this submission, and that its ability to make grants depends on the availability of funds and other competing needs.

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