Upload a copy of your most recent previous application.*
Charity/Organization name:*
Has the mission or purpose of the Charity/Organization changed? If so, please describe the changes.*
Has the primary contact person, the Charity/Organization itself, the program champion or their contact information changed since your last application? If yes, please describe.*
To whom will the renewal program funds be paid (exact name to be written on the check) and to whom should the check be written at what address?*
What year(s) did Mary's Giving Fund previously support this program?*
Will the renewal program remain the same? If not, please describe the changes.*
What other changes or improvements were made during the last program cycle and what improvements or adjustments do you plan to make in the coming program?*
What are the projected start and end dates for the renewal program?*
Will the overall program goals and measures of success remain the same in the renewal program? If not, please describe.*
How many children do you expect to impact with the renewal program and what portion are from an underserved community?*
What is the requested funding amount for the renewal program, and what other source(s) of funding are to be received for this program, including amount(s)?*
Please upload a copy of the budget for the renewal program with specific line-by-line details and amounts.*
How will Mary's Giving Fund be recognized for supporting the renewal program (e.g., website, media coverage, social media, public relations, logo placement on items distributed, etc.)?*
Please provide any photos, videos, samples, or links that we may use on our website or in our promotional materials.
For any provided picture(s) or video(s) of any adult(s) or child(ren), have you or will have you obtained the appropriate or necessary permission(s), release(s), or waiver(s) from the appropriate responsible person(s) such that Mary’s Giving Fund may use it (them) on its website or in its promotional materials?
Yes or no? And if no, please explain.*
Please provide a testimonial that we may use on our website or in promotional materials (including the name and relationship of the person to the program). Please be as specific as possible about what was accomplished with the help of Mary's Giving Fund.*
Has there been any change in the IRS nonprofit, other charitable, or state nonprofit status? If yes, please describe.*
Is the annual budget for your Charity/Organization greater or less than $1,000,000?*
Were communications with Mary's Giving Fund last year helpful? Please provide any suggestions for improvement.*
Please provide any other notes we should have a know in considering this renewal program?*
Thank you very much for submitting this information. Please indicate below the person at the Charity/Organization who takes responsibility for its truth, accuracy, and completeness and who confirms that Mary's Giving Fund may rely on the same.
Name (in place of a signature), Title, Date:*
