BENEFIT
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BENEFIT Fund Grant Application.
Contact Info
Please take a moment to review the application and required fields before starting.
*
Indicates required field
Organization Name
*
Contact Name
*
Email
*
Contact Phone
*
Contact Title
*
Website Address
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Mailing Address
*
Application
Organizational Background: (Describe the history, mission, major programs, and key staff of your organization).
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Statement of Impact: What need does your organization or project address? What makes your organization or project unique? (Your organization or project must serve children in need in Loudoun County to Qualify)
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Goals and Evaluation: Describe your big picture goals and discuss the results that you intend to accomplish. How do you measure success, or how will you measure success (for new projects)?
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Upload Supporting Materials
IRS letter of determination
*
Max file size: 20MB
List of organization’s current Board of Directors
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Max file size: 20MB
Most recent Form 990 or 990EZ
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Max file size: 20MB
Most recent audit or financial statement
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Max file size: 20MB
Board-approved organizational budget for the current fiscal year
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Max file size: 20MB
Video Submission
A video, no longer than thirty (30) seconds in length, which highlights the mission and work of your organization. Videos should include a general organizational overview, NOT the specifics of the BENEFIT fund request. Videos need not be produced professionally. Cell phone videos are acceptable. Creativity is encouraged!
Video URL (YouTube, Vimeo, DropBox, etc)
*
OR Upload Video File
*
Max file size: 20MB
Do you give permission for the video submitted as part of this application to be posted on the BENEFIT website and shared via BENEFIT social media accounts?
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Yes
No
Submit
Home
Crossroads 2022
Sponsor
Participate
Volunteer
Performers
About
Contact
News and Announcements
BENEFIT Artists
Donate
