General Information

• Legal name
  • Organization’s legal name as listed on the 501(c)(3) Internal Revenue Tax Determination letter; or
  • If applying with a fiscal sponsor or national organization, that organization’s name
• Organization name
  • Name you, the applicant organization, do business as
  • Local organization name
• Year founded
• Tax identification number (EIN)
  • If applying with a Fiscal Sponsor or national organization, please omit
• Organization mission (50-word limit)
  • Provide the organization’s mission.
• Mailing address
• Web address
• Twitter handle
• General email address
• General phone number

Organization’s Employees and Volunteers

• Number of Employees
  • Total Employees, FT, PT, BIPOC (Black, Indigenous, and People of Color), Total BIPOC Employees, FT BIPOC, PT BIPOC, Number of BIPOC in Leadership Positions
• Number of Independent Contractors and Volunteers
  • Recurring and One-time, volunteers

Employee Demographics

• Race & ethnicity
• Gender identity
• Sexual Orientation

Population Served

• List which population(s) your organization serves.
  • What is the opportunity or need in the population(s). How are their voices incorporated into the work? (400-word limit)
• Number of individuals served per year in Philadelphia
• Races & ethnicities of those served

Grant Request Information

• Request date
• What type of funding are you seeking? (select one)
  • General Operating Support
  • Project Support
• Funding stream (select one)
  Please visit our funding focus page for descriptions
  • Arts & Culture
  • Immigrants & Refugees
  • Social, Racial & Economic Justice
• Grant Term (in months)
• Request amounts (General Operating Support only)
• Total Request Amount for the Entire Grant Term
• Request Purpose (255-character limit with spaces, which is about 35 words)
  • If you are requesting project support, provide project title and one-sentence description of your request. If you are requesting general operating support, please type “General Support
• Summary of Activities (300-word limit)
  • Provide a summary of key activities you will carry out during the grant period.
• If requesting project support, how does the project fit into the overall work of your organization? (200-word limit)
  • If requesting general operating support, please skip this question.
• How will you know your approach works? (100-word limit)

Financial Information

Note: For those applying through a Fiscal Sponsor or a National Office, we only request an audited financial statement from the Fiscal Sponsor or National Office.  The rest of the financial information requested below is for the entity that is applying through the Fiscal Sponsor or a National Office.

• Fiscal year start and end date
• Current Fiscal Year Operating Budget
  • Operating Revenue
    • Total amount of organization’s current fiscal year projected revenue
  • Operating Expenses
    • Total amount of organization’s current fiscal year projected expenses
• Does your organization have a budget line item for leadership development and/or wellness?
  • Yes
  •  No
• Enter the total amount for the leadership development or wellness line item.
  • If you currently do not have a leadership development and/or wellness line item, enter “O”.

Project Budget

If requesting general operating support, please skip this question.

• Project Budget
  • If your request is for project support, enter the total amount for the project’s expenses.

Financial Statement

• Audited Financial Statement or 990 Return
  • Upload your most recently completed audited financial statement (PDF only)
  • If you do not have an audited financial statement, please upload your most recent 990 tax return (PDF only).
  • If you are applying through a fiscal sponsor or national office, upload:
    •  the applicant’s most recently completed fiscal year’s actual income and expense statement.
    • your fiscal sponsor’s or national office’s most recently completed audited financial statement.

Internal Revenue Service Determination

By submitting this form, I certify that our designation as 501(c)3 and 509(a) of the Internal Revenue Code, and it is still in effect.

Organization’s Leadership Structure

• Is your organization co-led?
  • Yes
  • No
• How many co-leaders are there?

Organization’s Primary Contact

• Contact information for organization’s leader (i.e. Executive Director, CEO, President etc.) and Request Contact, if different
  • Request Contact will be the primary contact if there are any questions regarding the application
    • Prefix
    • First and last name
    • Suffix
    • Preferred pronoun(s)
    • Title
    • Email address
    • Direct phone number
    • Years of service at the organization in this position
    • Race & ethnicity
    • Gender identity

Co-leader Contact Information

• • If your organization has one leader please skip this section.
    • Contact information for organization’s co-leader
    • Prefix
    • First and last name
    • Suffix
    • Preferred pronoun(s)
    • Title
    • Email address
    • Direct phone number
    • Years of service at the organization in this position
    • Race & ethnicity
    • Gender identity

Additional Information

• Is there anything else you would like the Fels Fund to consider when reviewing your funding inquiry? (300-word limit)
• Please provide any feedback/suggestions you have concerning the funding inquiry process. (100-word limit)