Robin Hood 2020 Relief Fund Application

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Basic Information

Is your organization a current Robin Hood community partner?

YesNo

Organization:

Phone Number:

Format: 1112223333. Please do not include any space or parenthesis.

Address

Street

City

State

Zip Code

Program Address

Street

City

State

Zip Code

Executive Director Name:

Executive Director Email:

Primary Contact Name:

Primary Contact Email:

Funding Request Amount:

Brevity is appreciated.

1. Grant Purpose

a. Please explain the need for a Relief grant.

2. Funding

a. What services are you already providing to those impacted by COVID-19 and how would additional funds be used?

b. If you are requesting funds to provide cash assistance to individuals, please explain how you’d distribute these funds (i.e. how much per household, eligibility criteria, and through what delivery mechanism).

c. Would you need technical support of any kind to administer this cash assistance? If so, please describe.

3. Budget

a. What staffing and operational costs do you need to support this project?

4. Target Population and Geography

a. Please describe your target population (Include demographics and average income, where possible).

b. In which boroughs will the funds be used?

*Holding down "Ctrl" to select more than one

c. In what geography will the funds be used? (Be sure to include specific neighborhoods, and zip codes).

5. What other ways beyond grant funding could Robin Hood support your efforts to serve estimated households impacted by COVID-19? (e.g. convenings, technology, corporate pro bono volunteers (i.e. legal, strategy, finance, etc.))?

6. Please describe needs your organization is addressing as it pertains to your employees.

6. Additional documents

a. Organization’s Mission Statement

b. 501(c)(3) IRS determination letter

c. Audited financial statements

d. Board list with affiliations

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