Download MS Word APPLICATION/PROPOSAL template

Download MS Word YEAR-END REPORT template

Please call Gail Shuster for application deadlines: 415-512-0500.

INSTRUCTIONS FOR SUBMITTING A PROPOSAL

Attach Fiscal and Budget Information:

• Your proposal must include an estimated organizational budget for the coming year and an estimated project budget (if applicable) for the coming year. Include on each budget a list of all revenue sources and a line item list of proposed expenditures;

• List on both the organization budget and the project budget all funders; specify whether the funding is committed (c) or is pending (p);

• Itemize any significant change in either expenditures or revenues the organization has/is experiencing or anticipating, and list the reason for the change.

Required Attachments:

• Documentation of tax exempt status;

• Current roster of Board of Directors and a statement as to their role on the Board (one sentence is sufficient);

• An organization chart or a description of how the organization is managed;

• For a renewal grant, attach a year-end report describing accomplishments of the previous grant. Please use the year-end report outline, which can be downloaded from our web site, www.vlsrr.org on the application page.

Helpful Attachments, But Not Required: Any references, previous evaluations or research reports completed on your program or on a similar program, serving the same target population, that document achievement of improved outcome.

Proposal Style:  Readability and Appealing Presentation (very important)

• Cover letter is optional, but should not exceed one page;

• Provide only one copy of the proposal;

• The proposal must be printed in readable style (at least 12pt. and with adequate margins);

• No 2-sided printed/copied pages;

• No delivery that requires a signature;

• No videos, audiotapes, CDs unless requested.

Mail proposal to:

Toni Rembe, President
van Löben Sels/RembeRock Foundation
131 Steuart St., Suite 301
San Francisco, CA 94105

If you have any questions or need clarification on any of the items listed above, please call Katherine Armstrong, executive director, at (415) 512-0577 or Gail Shuster, Program Administrator, at (415) 512-0500.

Call for proposal submission deadline.

VLSRR APPLICATION FACE SHEET

Foundation's Priority Area: ______________________________ 

Name of organization: ______________________________ 

Website: ______________________________ 

Address: ______________________________ 

City: ______________________________ 

Zip Code: ___________________

County: ______________________________ 

Executive Director: ______________________________ 

Phone #: ______________________________ 

Email: ______________________________ 

Executive Director Signature: _______________________________ 

Contact Person: ______________________________ 

Phone #: ______________________________ 

Email: ______________________________ 

Fiscal and funding request:

• Amount requested from VLSRR Foundation: _______________  

• Project’s budget total: _______________

• Organization’s projected budget total for the new year: _________ 

• Organization’s budget total from previous year: __________ 

• List grants received in the last five years from VLSRR foundation.

APPLICATION TEMPLATE FOR APPLYING FOR A GRANT

(Proposal should not exceed 5 pages)
 

1. Complete the application face sheet.

2. Provide a brief description of your organization’s purpose and mission and goals.  Tell us about your organization’s experience and capacity to achieve your program objectives.  (½ page)

3. If you provide direct legal services, please describe whom you will serve and the specific needs that are addressed by your services.  If you provide policy-based advocacy or intermediary/support services, please describe who will be receiving your assistance and state the specific subjects/topics that will be addressed by your efforts.  (½ page)

4. Provide a description of the actual proposed project: include a list of the specific program activities and services to be provided. If you will be providing direct individual services, please provide an estimate of the average number of services you plan to provide each client to increase his/her opportunity for improved outcomes.  (1 page)

5. List the specific, measurable results/outcomes to be achieved by your organization.  Tell us how the lives of people will be improved as a result of your work.  (½ page)

6. Describe how you will know if your organization is successful in achieving your program objectives. Tell us about your data collection methodology and evaluation approach for documenting achievement of the results described in V above.  (½ page)

7. Describe relationships with agency partners and collaborators with whom you routinely work that help improve coordination of services for your clients and increase the efficiency of your services.
   (½  page)

8. Describe your organizational structure and provide an organizational chart and a list of your board members.  Tell us about your staffing capacity for managing the organization and achieving your service delivery objectives. (½ page)

9. Attach your estimated organizational budget for the coming year and an organizational income and expense statement for the last year.  List all funding sources and mark those pending and those committed.

10. Attach your 501c3.

YEAR-END REPORT TEMPLATE

(Report should not exceed 3 pages)
 

1. Attach the application face sheet from your original proposal.

2. Provide a brief summary of the organization’s goals, objectives and strategies. Describe the specific activities and programs implemented during this year. If activities and programs implemented were different from those proposed in last year’s proposal, please tell us why these differences occurred and what contributed to your change in plans.  (1 page)

3. Please provide a report on the number of people served, the demographic profile of the people served and the average number of services individuals received.  For organizations that provide policy-based advocacy or intermediary/support services to other organizations, please describe who and how many organizations received your assistance.  (½ page)

4. Provide us a summary of what was achieved in the last year by your organization?  Please describe how the people served are now better off as a result of services received from your organization.  (½ page)

5. Describe challenges and opportunities faced during the past year.  Describe any significant organizational changes, including staffing, changes in organizational partners and sources of revenue incurred over the last year. (½ page)

6. Attach organizational revenue and expense statement for the previous year and if appropriate project expenditure report for the last year.