APPLICATION TEMPLATE FOR REQUESTING RENEWAL OF CURRENT GRANT FUNDING

This template is to be used by organizations that received funding in the last two years

vanLöbenSels/RembeRock Foundation Guidelines

About this document

This document describes vanLöbenSels/RembeRock Foundation’s funding priorities and guidelines. Included are descriptions of proposal requirements and application instructions and application form.

For questions regarding the guidelines and application process please call:

  • Gail Shuster, Grants Manager, at 415-512-0500,email
  • Katherine Armstrong, Executive Director, email r telephone at 415-512-0577

Our funding priorities

The van Löben Sels/RembeRock Foundation’s mission is to promote social justice in Northern California by means of legal services and advocacy.

Our primary focus is to provide low-income residents with affordable legal services in areas such as immigration, civil rights, housing, and access to benefits.

We will also consider funding programs for incarcerated women, programs for youth subject to the juvenile justice system, literacy programs for incarcerated persons, and social justice programs in remote, rural communities.

We fund programs located in Northern California.

We define Northern California to include Santa Cruz, Santa Clara, Stanislaus, Tuolumne, and MonoCounties and all counties north of these five counties.

The Foundation does not fund programs that

  • require medical, scientific, or other technical knowledge
  • request funding for an individual or family
  • request funding for scholarships or stipends
  • request funding for capital campaigns
  • seek support for programs outside Northern California
  • request support for fundraisers, annual dinners, galas, or award banquets

Submission Requirements

Organizations Seeking Renewal Funding
  • CompletedCover Sheet
  • Completed Application
  • 501c3 letter
  • Current roster of Board of Directors
  • An organization chart

Fiscal and Budget Information

  • The organization’s projected income and expense budgetfor the new fiscal year.
  • If applicable, an estimated projectincome and expense budget for the new fiscal year.
  • An organizational revenue and expenditure report for the previous year of funding.
  • All organization and project budgetsmust specify government, corporate, and foundation funders by name and amount of funding;indicate whether funds are committed (c) or pending (p). Report list of funders on a separate page.Please, no acronyms.
Because each of our five directors reads each and every proposal submitted for consideration for funding, it is important that your proposal conform to our guidelines for readability and appearance.
Proposal Format
  • Only one copy of the proposal is required.
  • The proposal should not exceed five pages.
  • The proposal must be printed on 8 ½by 11-inch paper and have an easy to read style (at least 12pt. and one inch margins).
  • No 2-sided printed/copied pages.
  • No delivery that requires a signature.
  • No videos, audiotapes, CDs unless requested.

Mail Proposal To

Toni Rembe, President

vanLöbenSels/RembeRock Foundation

131 Steuart Street, Suite 301

San Francisco, CA 94105

Foundation Cover Sheet

Organization Name ______

Project Name ______

Address ______

City ______Zip Code ______

County (s) Served ______

Website ______

Executive Director ______

Phone # ______email ______

Executive Director Signature ______

Financial Information: What is your Fiscal Year?

 Calendar Year-January through December

 July-June Fiscal Year

 October-September Fiscal Year

Organization’s expenditure total for FY 2012
/ $
Organization’s projected budget total for FY 2013
/ $
Project’s budget total for FY 2013
/ $
Amount requested from the Foundation for FY2013
/ $

List of past grants received from our foundation

Amount of Funds

/

Purpose

2012

/

$

2011

/

$

2010

/

$

2009

/

$

2008

/

$

Instructions for completing application template

(Proposal not to exceed five pages)

I. Organization Summary(1/2 page)

Provide an organizational overview of mission, goals and programs.Include a brief description of how your organization is managed and staffed. Describe ways in which theboard of directors’ is involved in fund development and sustainability.

II. Report on activities and programs carried out during the past year (1 page)

Report on how activities listed in last year’s proposal were carried out. If services provided were different from those proposed in last year’s grant, tell us why those differences occurred and what contributed to the change in plans.

For organizations that provide policy-based advocacy or technical assistance, include a summaryof the total number of organizations served, what types of groups were served, and list the specific subjects/topics and/or support services provided.

Provide a summary of program achievements. Tell us how the participants or organizations served are better off as a result of services provided by your organization.

III. Description of the proposed project or organizational activity for which a VLS/RR grant is sought(1 page)

Provide a description of the project’s purpose and expected results. Include a description of who will be served, the number of people served, and the type of program activities and services to be provided.

IV. Describe how the organization will document achievement of its goals, i.e. how do you measure success (1/2 page)

Describe the qualitative or quantitative methods you use to document the efficiency and effectiveness of your programs.

V. Describe relationships with partners and collaborators(1/2 page)

Describe the ways in which you work with others and leverage services on behalf of your clients.

VI. Describe challenges and opportunities faced during the past year.(1/2 page)

VII. Attachments

  • For the previous year of funding, provide a revenue and expenditure report
  • For the proposed new year request for funding, provide organization’s estimated budget, including revenues sources and expenditures and project budget for the new year (if applicable)
  • All organization and project budgets must specify government, corporate, and foundation funders by name and amount of funding; indicating whether funds are committed (c) or pending (p).
  • A current organizational chart
  • A current roster of Board of Directors
  • 501c3 letter

I. Organization Summary (1/2 page)

II. Report on activities and programs carried out during the past year (1 page)

III. Description of the proposed project or organizational activity for which a VLS/RR grant is sought.(1 page)

IV. Describe how the organization will document achievement of its goals, i.e. how do you measure success (1/2 page)

V. Describe relationships with partners and collaborators(1/2 page)

VI. Describe challenges and opportunities faced during the past year.(1/2 page)

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