Nonprofit Proposal Questionnaire Please enable JavaScript in your browser to complete this form.Dewlyn Nonprofit Services uses this questionnaire to gather a large amount of information in a concise and efficient way. We have added both open and closed questions to collect data that will help us understand your organization, project, and funding goals. Note: This form does not represent a business relationship or an agreement to engage in formal services. Once this form has been completed and submitted, we will contact you to discuss our next steps if it is determined that we are able to assist you.SECTION 1: About Your OrganizationPrimary Contact Name *FirstLastContact TitleOrganization Name *Organization AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCountyPhone *Email *Website / URLDate Organization Originally FoundedDate Organization became 501(c)(3) Tax-Exempt Employee Identification Number (EIN) How is organization structured? For-ProfitNon-Profit CorporationNon-Profit (Other)We do not have a legal structure yetSECTION 2: About Your Board of DirectorsThe number of Directors and Officers required vary from state to state. A best practice is to have at least 3 (unrelated) individuals to serve your organization. Typical Board positions are: Board Chair, Board Treasurer, Board Secretary, and Board Member. Number of Directors: *THE BOARD CHAIRFirstLastChair's EmailChair's Phone Number:Chair's AffiliationsExample: Serves on the Board of ABC Foundation, works for Delta Airlines, Regular volunteer with Boys and Girls Club of America.THE BOARD TREASURERFirstLastTreasurer Email"Treasurer Phone Number:Treasurer's AffiliationsBOARD SECRETARYFirstLastSecretary EmailSecretary Phone Number:Secretary's AffiliationsPlease use the space provided to list all other board members. List their name, email, and affiliationsSECTION 3: About Your Organization's ActivitiesIn under 20 words, please state your organization's mission: *Please list each service that your organization provides *Describe your target populationWhich city, county, and state does your target population live in?Is there a fee for your services?What are your hours of operation?SECTION 4: About Your PartnersHow many regular volunteers do you have?How many community partners to you have (formal and informal)?SECTION 5: About Your Income and ExpensesTotal INCOME generated for your nonprofit during the last 12 months? *Total amount SPENT on your nonprofit during the last 12 months? *SECTION 6: About Your Funding RequestHow much are you seeking in funding?Note: Our proposals are for entry level funding. We no longer write proposals for amounts that exceed $100,000.If awarded, what will you spend the money on?SECTION 7: About the FounderWhy was the organization founded? Please be as detailed as possible.Thank you!How did you hear about our services? * Website/Team MemberOur PostcardOnline SearchI was referredOtherWho referred you? (We'd love to thank them)!Please explain:You attest that this information is true to the best of your knowledge. * Yes, this information is correct.Submit
