Fiscal Sponsorship Application Form

Lead ID

What is the name of your program/project/organization for which you are seeking fiscal sponsorship?

What is the current status of your project?

PlanningReady To LaunchActiveDormant

Where will your project take place?

United StatesOutside The United StatesBoth

Please select State

Please select country

We accept applications outside of the Unites States only if you have someone currently based in the US who can represent you. You must also be able to pay the $29 per month refundable admin fee, if applicable.

If you have one, what is the website address of your program/project/organization?

Is your program/project/organization currently being fiscally sponsored by another organization?

YesNo

Is your program/project/organization currently set up as any type of legal entity? (Ex. LLC, Nonprofit Corp, S Corp, C Corp etc.)

YesNo

What kind of legal entity is it?

Have you submitted the 1023 (or 1023EZ) form to the IRS for tax exemption and are awaiting your letter of determination?

YesNo

When was the 1023 Form submitted

Has your 501c3 received its IRS letter of determination?

YesNo

What kind of fiscal sponsorship are you seeking?

Model AModel CInternational Model CI Don't Know

Does your project have a U.S Based co-signer and an affiliation with a legal registered NGO/Nonprofit in the foreign country?

YesNoInternational Model C requires that 1) the project have a U.S Based co-signer and 2) that there is a legally registered NGO in the country of project activities.

Is this project an initiative of a cooperative and/or collective?

YesNo

Is this project a chapter of a local, domestic, or international organization?

YesNo

What is the charitable mission of your program/project/organization

What activities will your project engage in to fulfill your mission(Please be specific and concise)?

1). Please provide a list of current and/or proposed activities that your project will engage in. Please be specific, realistic, and as thorough as possible. For example, “We will hold a series of 10 community meetings that bring together stakeholders to examine the issue and make recommendations…” “We are an LGBTQ community theatre program supporting BIPOC creativity across generations…” “We will produce a weekly podcast…” *. 2). Please tell us what the expected positive influences of your project will be including how many people will benefit as a result of your work or any other benefit to the community/society/planet.

What is your project focus area?

If other please share brief focus area?

Do you currently have funding for your program/project/org?

YesNo

What is your anticipated revenue for the next 12 months?

Please input numbers ONLY(No Symbols) Please note, we would like to see only realistic, achievable fundraising goals.

Where do you expect the funding to come from?( check all that apply ) *

If you plan on charging a fee for service, what is the service you plan to be providing and how much will you charge? If you are planning to sell goods and/or merchandise, please describe

Do you currently have or expect to apply for any type of government funding (city, county, state, federal)?

Yes - Project currently relies on government fundingYes - Anticipate applying for government fundingNoPlease note: As a general practice, SGF does not accept most government grants

What is the source of the government grant you currently have or intend to apply for?

Example: City and County of San Francisco; Federal Department of Housing and Urban Development, CDBG, etc…

Do you currently have or plan to have employees?

Yes - Project currently has employeesYes - Project anticipates hiring employeesNo

How many employees?

1-34-67+

Do you currently have or plan to work with independent contractors?

Yes - Project currently has active contractorsYes - Project anticipates working with contractorsNo

How many contractors?

1-34-67+

Do you plan to pay yourself (or a co-director) as the Project Director? (Either now or in the future)

YesNo

Do you currently have or plan to work with volunteers?

YesNo

Will your project work directly with any of the following populations?(check all that apply)

Do you currently have or intend to develop any significant intellectual property?

YesNoNot sure

Please explain the nature of the intellectual property

Does your project plan to make grants to other organizations?

YesNoNot Sure

Briefly describe the anticipated grantmaking program.

Does your project plan to provide direct aid or scholarships to individuals?

YesNoNot Sure

Briefly describe the anticipated aid program.

Does your project plan to participate in any lobbying activities?

YesNoNot Sure

Briefly describe the lobbying activities you anticipate.

Does your project plan to conduct any international activities?

YesNoNot Sure

Briefly describe the anticipated international activities. Please include the potential countries in which the activities will occur.

Will your project have/involve any of the following(check all that apply)?

A Physical Office And/Or Program LocationEquestrian ActivitiesFood PreparationIn-person Events/Gatherings with 50 or more peoplePodcastingProfessional Services Requiring Certification/LicensesUse Of Tools/Machinery/Recreational EquipmentWater Activities/SportsNone Of The Above

Are you under any time constraints for getting a fiscal sponsorship up and running? If so, please explain.

How did you hear about us?

Please provide the name of the person/project/organization that referred you.