Grant Form | Rock Rose Foundation

Grant Application

Please take the time to complete this information accurately as it will impact our ability to communicate effectively with you. If you have any questions or need any assistance, please email kelsey@rock-rose.org.

This information is also collected for IRS compliance purposes.

Please note that this web form does NOT save your work. If the page is refreshed without submitting, you will have to start from scratch. It is strongly recommended that you preview the questions, write your answers in a separate word doc, and paste everything in when you are ready to submit.

Organization Information

Legal Name of Organization or Individual

Employer Identification Number (EIN) if applicable

Starting Date

Current Annual Operating Budget:

This date is the:

Organization Founding Date

Program Start Date

Enter contact information for your organization's Executive Director.

Executive Director Name

Executive Director Email

Executive Director Phone

If your contact person is not your Executive Director, please enter details below:

Contact person is Executive Director

Contact Person Name

Contact Person Email

Contact Person Phone

Preferred contact method Required

Phone

Street Address (principal/administrative office)

Mailing address is the same as Street Address

Mailing Address

Website or Facebook (if applicable)

Project Information

Project Title

Total Project Cost

Project Purpose/Mission

Grant amount requested

$5,000 or less

$10,000

$15,000

$20,000

If less than $5,000, enter the specific request

Narrative Questions

Please write brief answers to these questions, in 300 words or less.

A. Organization

1. What is the size of your organization, measured by the number of full and part time employees? Volunteers?

2. How did you recruit your team? What made them the best fit for the organization? Who will be leading this effort? Will they be partnering with any other organization(s)? What specific role will the leader(s) take?

B. Program

1. Describe the program or idea. What problem does it solve or what good idea does it energize? Include data to help explain the issue and how you determined the need.

2. What population does the program serve? (i.e. geographic area, under-represented populations)

3. What specific results or community impact do you hope to achieve through this program? If your program or idea is new, why do you think it will be successful?

4. What steps have you taken to prepare for this program? What steps still need to be taken to achieve these results? (Provide as many details as we need to fully understand your plan)

5. What would make you feel like this project has been a success? Provide examples and explain what you are hoping to accomplish.

Project Budget Information

A proposed budget is required, although the size and complexity of your project will determine exactly what your budget looks like.

* If you are requesting operating funds, your budget must cover the organization in its entirety.

* If you are requesting programming funds for a self-contained project, you may focus your budget on that project (provided you include any funds the organization is contributing in the revenue section, and all staffing, services, etc. provided by the organization in the expense section).

As long as your budget is typewritten and contains the required information, you may submit it in a format that is convenient for you. We prefer a spreadsheet or PDF, but can work with most document formats.

Proposed Budget

Upload File

Upload TXT, XLS, or PDF preferred (Max 15MB)

If your organization has been active for a year or more, we also require a cash flow statement showing profits and losses from the most recent fiscal year - please do not attach a bank statement or any document that includes sensitive account information.

Cash Flow Statement

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Upload TXT, XLS, or PDF preferred (Max 15MB)

Please provide a short description about how you would specifically use Rock Rose grant funds. The narrative is your opportunity to help us understand the data provided in the attached budget. Include anything you feel will help us better see your vision for your organization or project.

* Explain any unusual budget items.

* Discuss assumptions on which the budget is based.

* Discuss other funding sources - sharing information about your other grants and contributions helps us understand your organization and will not preclude you from receiving funding.

* Discuss how partnerships or collaborations with other organizations may impact your budget.

Your budget should provide a clear and accurate picture of your current and expected financial situation. It should help us understand what the money you raise is being used for. Most importantly, your budget will offer insight into how your organization is structured and what kind of research and planning has gone into your idea.

Enter your budget narrative below

Please refer to the Resources page on our website to view a sample attached budget and budget narrative.

If there is any further information you would like to share (for example: educational curriculum, utility bill, lease, program pamphlet, photos, etc.), you may attach files below. We do not require any attachments other than your budget and cash flow statement but we encourage you to share anything you think will help us better understand your program or organization. If you would like to share more than 3 files, please email Kelsey@rock-rose.org for instructions.

NOTE: These buttons can only accept document formats, like PDF, XLS, PPTX, or DOC.

Extra file

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Upload document (Max 15MB)

Extra file

Upload File

Upload document (Max 15MB)

Extra file

Upload File

Upload document (Max 15MB)

Click Submit when your application is complete. Missing required fields in your form will be highlighted in RED. It will take a few moments to upload the form. Do not close this page until you see a "Thank you" message under the Submit button!

Thank you for your submission. We will contact you for any further information we need. Feel free to email kelsey@rock-rose.org if you need anything!