RFA

Address

Phone:

Fax:

Email:

Web:

Please describe your mission:

Annual Budget:

Staff size:

#Paid

#Volunteers:

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Number of Board members:

If yes, please give a brief description of its role:

If not, then who has the primary responsibility for fund development?

Does the organization have a fund development director?

Please describe in detail short and long-term specific results that you want to accomplish:

Name of Organization

Date

Executive Director

We fully understand that the success of this program depends on the cooperation and participation of the organization’s management, staff and Board of Directors. Furthermore, we agree to adhere to the Memorandum of Understanding, click here to view. We jointly endorse this application and will spend sufficient time with the ESC Developing Development Program consultants to assure the success of the program. We understand that there is a modest fee of $1500, payable in two installments. This program is made possible thanks to the generosity of Weingart Foundation. Note: Electronic submission assumes authorization of those names submitted.

Board President

Please let us know: Are you currenly using other consultants?

If yes, in what areas are they working?

Does the Board have an active Fund Development Committee?