AMF 2016 Grant Application

2016 Grant Application
Deadline: Friday, February 26, 2016 at 5:00 pm
About Us:
The Asian Mosaic Fund (AMF) Giving Circle is a diverse group of multi-generational donors committed to advancing the well-being of the Greater Philadelphia Asian, Asian American, and Pacific Islander community. We envision a flourishing Asian community made up of safe, thriving, and diverse sectors, strengthened by dynamic leadership that empowers the Asian community to fully participate in all levels of society. AMF is a member of the AAPIP National Giving Circle Network.

About Our Grants:
Each year, the AMF Giving Circle raises funds to be distributed to organizations that serve the Asian community in accordance with our mission and values. Both established nonprofit organizations and emerging community-based organizations have received grants to support the important work they do. To date, almost $100,000 in grant funds has been distributed to a wide range of deserving organizations. Grants are awarded through an application process overseen by the AMF Grants Committee, with final selection determined by AMF’s donors. Each grant is typically $5,000 and the total number of grants is based on available funds.

What We Fund:
This year, the AMF Giving Circle will provide unrestricted general operating support. These grant funds can be used for any purpose determined by the grantee. We believe that general operating support funds will help to support the grantees’ sustainability, growth, and impact. This year, our process may include site visits, phone conversations, and emails as a follow-up to the application process.

Grantees will expected to provide a final report on the impact of their grant by November 30, 2016.

Eligibility:
Any organization that has not received AMF funding in the past three years is eligible to apply. Organizations must be based in the Greater Philadelphia Region, which includes southeastern Pennsylvania, southern New Jersey, and northern Delaware. Applicants must either be a registered 501(c)3 nonprofit organization or utilize a fiscal sponsor if unincorporated. We encourage community-based, grassroots, and emerging organizations to apply. Organizations that have budgets of less than $500,000 will be given priority consideration during the grantmaking review.

The following are not eligible to apply: Individuals; religious organizations for religious purposes; political parties, organizations for specific candidates, political action committees and/or any organizations that exist to support them; governments and municipal organizations.

Members of AMF’s executive committee are glad to answer any questions about eligibility and the grants process. Please email us at amfphilly@gmail.com.

Deadline: Friday, February 26, 2016 at 5:00 pm.

Note: Please review all of the application questions below and required documents that need to be included. For longer answers you may want to copy and paste text from another document into this form. There are no word count limits for the narrative questions, but please try to limit responses to no more than 750 words.

Documents you will need to upload with your submission include the following:
* IRS determination letter (for applicants that are incorporated nonprofit organizations)
* Letter of support from fiscal sponsor (for unincorporated entities)
* Current fiscal year operating budget document showing projected budget and actual expenditures to date, as well as prior year's budget and actual expenses. Use any format or document type.
* Most recent IRS Form 990 (for incorporated nonprofit organizations)
* Audited financial statements (for incorporated nonprofit organizations that are independently audited)

If you need any assistance with this online application or have any questions, please contact the AMF Giving Circle at amfphilly@gmail.com.
1. Organization Information
Organization Name:*
If using a fiscal sponsor, name of sponsoring organization:
Address:*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
E-mail:*
Alternate E-mail:
Website:
Phone Number:*
Area CodePhone Number
Alternate/Cell Phone Number:
Area CodePhone Number
Executive Director:*
Primary Contact (if different from above):
Organization Type:*
501(c)3 Nonprofit OrganizationUnincorporated, Using Fiscal Sponsor
Year Founded:*
Provide a brief summary of your organization's history and background (max. 500 words):*
0/500
Provide a brief summary of your organization’s programs and service statistics, highlighting the past year (max. 500 words):*
What are your organizations three greatest successes? What are your challenges?*
2. Demographics
To the best of your ability, and as applicable, provide demographic information on your executive director, senior staff, board of directors, and populations served (each column must add to 100):*
Executive Director (%) Senior Staff (%) Board of Directors (%) Population Served (%)
Caucasian
Black/African American
Latino/Hispanic
Asian/Asian American
Native American
Hawaiian/Other Pac. Isl.
Briefly describe how your organization ensures that AAPI communities are served in a culturally appropriate manner?*
Briefly describe your organization’s target population, constituents, and geographic communities.*
3. Sustainability and Funding
Briefly describe how your organization operates in a manner that ensures its sustainability for the future:*
In the space below, please identify your three largest funding sources and the amount of funding provided by each source.
Largest Funder #1 (Name)
Largest Funder #1 ($ Amount)
Largest Funder #2 (Name)
Largest Funder #2 ($ Amount)
Largest Funder #3 (Name)
Largest Funder #3 ($ Amount)
4. Document Upload
Upload all applicable documents listed below. Click on the "Browse..." button to select a file from your computer. You can upload any common file format (PDF, .doc, .docx., .xls, .xlsx, etc.)
IRS Determination Letter (for incorporated nonprofit organizations):
Letter of support from fiscal sponsor (for unincorporated entities):
Current fiscal year operating budget document showing projected budget and actual expenditures to date, as well as prior year's budget and actual expenses. Use any format or document type.*
Most recent IRS Form 990 (for incorporated nonprofit organizations):
Audited financial statements (for incorprated nonprofit organizations that are independently audited):
Should be Empty:

	Executive Director (%)	Senior Staff (%)	Board of Directors (%)	Population Served (%)
Caucasian
Black/African American
Latino/Hispanic
Asian/Asian American
Native American
Hawaiian/Other Pac. Isl.

2016 Grant Application

1. Organization Information

2. Demographics

3. Sustainability and Funding

4. Document Upload