New Grantees

If you have never applied for funding from the Phil and Martha Bachman Foundation, please complete the form below.

1: Organization Contact Details

a. Organization Name (legal name, if different) *

b. Mailing address (and physical address if different) *

c. EIN number *

d. Name of organization representative, title, phone/email contact details completing the application *

e. Name of CEO or Executive Director and their email/phone *

f. Website URL

g. Date of application submission *

2: Organizational Overview

a. Year Founded *

b. Mission Statement *

c. Geographic area served *

d. Describe population served *

e. Tax-exempt status: *

f. Number of employees: Full-time / part-time *

3: Financial Information:

a. Current budget for fiscal year ending: *

b. Revenue: *

c. Expenses: *

d. Current FMV of endowment or board reserve funds: *

e. Please describe the various sources of your annual revenue by percentage (public, private, earned, etc.) *

4: Grant Request Information:

a. Type of grant requested: *

b. Amount of Request: *

c. Description of what the grant will be used for: *

d. The ABC Foundation prioritizes the following program areas: *

e. If requesting program or project support, please provide:

i. Total program or project budget:

ii. Dates from __ to __:

iii. Income:

iv. Expenses:

5: Narrative Questions:

a. Please describe the primary goals and objectives of the organization and the needs or problems being addressed. *

b. Please describe the organization’s current programs. If this request is for a specific program, describe the organization’s other programs here. *

c. If you are requesting project-specific support, please include more information about the goals and objectives of the program, timeline/duration of the project and how the program aligns with broader strategic objectives. *

d. How do you measure the impact of your work, including measurable benchmarks? *

e. If there is additional information that is vital to convey, please include here: *