Martha’s Vineyard Social Justice Leadership Foundation Grant Application The Martha’s Vineyard Social Justice Leadership Foundation, Inc. is a 501 (c)(3) non-profit organization, incorporated in October 2013. Its mission is To empower island groups and individuals to transform racial and social injustices through grantmaking, education, advocacy. Its vision is A fair and just island for all. Grant Application Applicant Organization Name (required): Date of Application (required): Program/Project Name (required): Amount of Funding Requested ($) (required): What percent of the total program/project does this funding represent? (required) How would you like to provide a comprehensive statement of grant purpose? (required): I'll write it hereI'll upload a file Comprehensive statement of grant purpose (required): Comprehensive statement of grant purpose File (required): You may attach a separate statement no more than 1-page in length Anticipated program/project start date (required): Anticipated program/project end date (if applicable): This Program/Project is: newexpandedongoing Please attach to this application a one to two-page description of this Program/Project, including how it addresses an identified need, the expected outcomes, and how it fits with the mission and vision of the MVSJLF. Organization mailing address (required): Organization physical address (required): Telephone number (required): Fax number: Website URL (required): Grant Manager for application [name & title] (required) : Contact telephone number (required): Contact email address (required): Is this organization 501(c)(3)? YesNo If yes, please enter organizations EIN Number: If no, please name it's fiscal sponsor: Organization mission statement (required): Year the organization was established (required): Role of organization in the Martha's Vineyard Community (required): Application Requirements Grant application form including proposal narrative: Evidence of 501(c)(3) status: List of board members and officers, and chief executive, if applicable: Two letters of support for the Program/Project from outside sources: Evidence of Indemnity and Liability per Terms & Conditions, Conditions of Funding, section [4]: List of board members and officers, and chief executive, if applicable: Two letters of support for the Program/Project from outside sources: Letter from the fiscal sponsor confirming acceptance of responsibility to act on behalf of the applicant organization: Evidence of fiscal sponsor's IRS 501 (c)(3) status. Fiscal sponsor's current operating budget: List of fiscal sponsor's board members and officers, and chief executive, if applicable: I have read and agree to the Terms & Conditions
