St. Joseph Foundation Grant Application

Please complete the following questions concisely and avoid repeating information. Bullet points are encouraged. All file uploads require a PDF document.

ORGANIZATION INFORMATION

Layout

Business name of the 501(c)(3) organization applying for this grant

Tax ID

Business Address

Address Line 1

Address Line 2

City

State

Zip Code

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Website / URL

Organizational Mission Statement

Does your organization use a fiscal sponsor?

Yes
No

If yes, please enter the sponsor's name.

IRS Ruling Date – Indicate the year your organization (or fiscal sponsor) received 501(c)(3) status

Organization Type

Parish
Catholic Organization
Catholic Affiliated

Provide a brief history of your organization

Number of years in operation

Provide number of unduplicated participants served annually by your program,

Primary Organization Focus

Secondary Organization Focus

You may list up to three secondary program areas that your organization addresses. They may be from the list above or not included in that list.

What is the total annual operating budget for the organization applying for the grant?

List your organization's primary funding sources.

How many paid full-time employees or contractors does your organization have?

How many paid part-time employees or contractors does your organization have?

How many volunteers does your organization have?

List the authorized individual of this non-profit who has given approval to apply for this grant.

First

Last

Authorized individual's email

Authorized individual's phone

Have you previously received funding from the St. Joseph Foundation?

Yes
No

If yes, when?

ABOUT THE PROJECT

Project Name (Title)

Amount of this Grant Request

Physical address where services take place if different from business address

Address Line 1

Address Line 2

City

State

Zip Code

Grant Project Coordinator

Coordinator's Title

Coordinator's Phone

Coordinator's Email

Please describe the project for which this grant will be used (in 1-3 sentences)

Please select the funding for your grant request.

Catholic Initiative - supporting the spiritual and social needs of communities in Western Washington
Pastoral Ministry - supporting missionary discipleship, Catholic social teaching and other efforts to spread the Gospel, including special priorities such as environmental initiatives.
Faith Formation / Education - advancing the continuing education and faith formation for lay ministers, deacons, seminarians, and priests.

Geographical Impact Mark all counties that would be impacted by this grant

Impact:

Include the number of people who will be impacted by the grant.

Describe the need this grant will address.

What is the projected outcome of this project.

Budget:

What is the planned operating budget for this project.

Please break out the grant dollars requested to show what line items they will fund.

What is your total fundraising goal for this project?

Other Sources of Program Support (including individual donations, in-kind donations, grants and other)

Please list support items separately.

Optional - Upload additional financial information.

Click or drag a file to this area to upload.

What will happen to this project if you do not receive funding from St. Joseph Foundation?

Include a Statement of Support (PDF)

Click or drag a file to this area to upload.

Is there anything else you would like us to know about your proposal?

ACKNOWLEDGEMENTS AND RELEASES

By signing below, I am permitted to act on behalf of and represent the organization submitting this grant application.

I grant the St. Joseph Foundation of the Archdiocese of Seattle the rights and unrestricted permission to use my name, image, and/or voice in any photos, video recordings, and the like, as well as the name of the organization I represent. These uses include, but are not limited to videos, publications, news releases, websites, and any promotional or educational materials in any medium.

I attest that all information given in this application is true and correct to the best of my knowledge, and that I have read the foregoing and fully understand its contents.

Signature of the person with signing authority for the organization applying for this grant.

Clear Signature

Date Signed