We See You Grant Recipient Form

We are honored to acknowledge your organization with a “We See You” grant. While there is no grant application process, we ask that you please fill out this brief online form by Friday, September 15 to gather some basic information about your organization, how you describe your work, and the demographics of your staff and board and who you serve.

This information has no impact on our decision, but it is important information for us to have available, and we’d like to share a brief organization description on our website.

CONTACT INFORMATION

Organization (or Fiscally Sponsored Project) Name

Primary Contact Person

First Name

Last Name

Primary Contact Person's Title

Mailing Address

Phone

(###)

###

####

FISCAL SPONSORSHIP INFORMATION (skip to next section if not applicable)

Fiscal Sponsor Organization Name

Fiscal Sponsor Contact Person

First Name

Last Name

Fiscal Sponsor Contact Person's Title

Fiscal Sponsor Mailing Address

Fiscal Sponsor Phone

(###)

###

####

Fiscal Sponsor Email

ORGANIZATION BACKGROUND

Short Description

Please provide a 1- to 2-sentence description of your organization about your mission, who you serve and what you do.

Geography Served

What are the places (town, city, county or counties, statewide, or other description) your organization works?

Use of Funds

How might you use the “We See You” grant funding to support your organizational goals?

Financials

What is your total annual budget and fiscal year?

Staff and Board

What is your total staff and board size and composition? If possible, please provide numbers of staff and board and how they identify (e.g. race, ethnicity, gender, sexuality, lived experience, e.g., homelessness, incarceration).

Organization Website

http://

Social Media Handle(s)

Please list your @handles or paste links to your social media pages.

T-Shirt Size

We See You Grant Recipient Form

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