PROPOSAL COVER SHEET
Three (3) copies of this summary must be submitted with three (3) copies of your proposal, 501C3, budget and any other materials included with your grant request. Request should not exceed $2000. You can click here to download the proposal cover sheet as a word processing file.

For Office Use Only

Proposal #:

Cycle:

Organization Name:  _________________________________

Executive Director/Fundraising Contact: __________________

E-mail: __________________________________________

Mailing Address __________________________________________

City: _________________________State: ______Zip: ____________

Project Name _____________________________________________

Brief Project Description _____________________________________

Project Timeline ___________________________________________

Person Responsibility for Project _______________________________

Phone Number (s) _________________E-mail: ___________________

Website:_________________________________________________

Does your organization have 501(C)(3) status*?  Yes __ No__

*If no, do you have a fiscal sponsor with 501(C)(3) status? Yes __ No__

*What is the name of your fiscal sponsor?___________________________

*(send only your budget information, not your fiscal sponsors)

Annual ORGANIZATION budget: $ ___________________

Total annual PROJECT budget: $______________________

Amount requested from Open Meadows: $ ______________

Has your organization applied to Open Meadows before: Yes __ No__

If funded by Open Meadows,

When? _________________ For how much? $______________

 

1. Please check the appropriate categories for the proposal for which you are requesting funding.

Advocacy/Public Policy

Domestic Violence/Sexual Assault

Education

Employment/Economic Development

Girls

Housing/Homelessness

Leadership Development

Sexual Orientation

Old Women

Other

2. If International, which country/countries? _______________________________________________

3. Age group of women this program serves: ______________________________________________

4. Estimated number of women/girls this project serves annually: ________________________________

5. Please carefully review the guidelines for Open Meadows and the Special Funds. If your proposal fits the guidelines for one of our special funds, please indicate which one below. Otherwise, your proposal will be reviewed for the General Fund.

 

__ The Ellen Dougherty Activist Fund for Young Women

__ The Jeanne Meurer Indigenous Women’s Fund

__ The Kologi Sports and Recreation Fund

__ The PatsyLu Fund for Women’s Music Projects

__ The Susan F. Eastman Fund for Environmental Activism

__ The Edie Windsor for Old Lesbians

Please print out this cover sheet and send with your proposal.

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