How to Apply
Before applying for a grant, please review our Funding
Priorities.
Organizations seeking foundation support must complete a Grant
Application using the foundation’s application forms and attach the required
supporting documentation as outlined in the application checklist.
Applications should address one or more of the foundation’s
funding priorities.
Grant funds must be used during the time period specified in the
application. If all funds have not been expended within the approved
grant period, a request for carryover may be submitted with an
explanation of the under-spending and a plan for completion of
the approved scope of work.
Former grantees please note: A new application for funding will
not be considered if a report on a previous grant has not been
submitted to the foundation. If the due date for the final report
listed in the grant award letter is later than the new application
deadline, you must submit an interim progress report regarding
your previously funded programs.
The foundation permits electronic grant application submissions
as well as submission of hard copy by mail or commercial carrier.
Faxed applications will not be accepted.
Download
the grant application packet.
All materials must be received by 5:00 pm July
31, 2012.
Electronic submissions may be emailed to: info@firsthospitalfdn.org
Hard copy submissions may be mailed or delivered by carrier to:
First Hospital Foundation
230 South Broad Street, Suite 402
Philadelphia, PA 19102
Application Format and Scoring Criteria
Applicants are required
to submit the following:
I. A completed Grant Application Summary Sheet
II. A three-page Narrative which includes:
A. Organizational Capacity & Qualifications (15%)
- Brief summary
of organization’s history and mission and
capacity and/or qualifications to perform proposed scope of work.
- Description of current programs, activities, service statistics
and strengths/accomplishments (highlighting the past year), including
what makes your organization unique.
B. Assessment of Need and Fit with First Hospital Foundation Priorities
(20%)
- Explain need for support and how need was determined.
- Define
- Problems to be addressed
- Target population
- How the proposed activities will address
the problems to be addressed.
C. Program Implementation Plan
and Feasibility (20%)
For program support, provide the following
information:
- Goals and Measurable Objectives
- Description of the goals and
objectives of the program.
- Fully explain the implementation
plan, including specific activities to accomplish stated
objectives.
- If this program requires a collaborative, briefly
describe the partners.
- Timeline in which all of this will occur, with specific
start/end dates. Multi-year requests should include a multi-year
timeline as an attachment.
- If applying for technology/equipment, state clearly
how it relates to the program or service that meets the foundation
guidelines. Describe plan for maintenance/repair and management.
(Include such details as backup/maintenance, potential for
growth/upgrades, staff training and use of consultants.)
For general operating support, provide the following information:
- Description
of the organization’s core programs,
volumes of service, geographic service region(s) and program
sites.
- Description of the impact of the organization’s core
programs and how you evaluate their effectiveness.
- Description of need for general operating support.
- Identify and describe any key partnerships or collaborations
that contribute to organizational success.
D. Staffing (10%)
- Describe your program management plan, including
qualifications of key staff and/or consultants included in proposed
budget. (Attach resumes or job descriptions as an appendix.)
E. Evaluation (15%)
- Describe your method for measuring success
or impact of proposed activities.
- Describe how your findings will be used and/or disseminated.
F. Sustainability (5%)
- Describe how the program or benefits resulting
from the program will continue.
- If the program involves an ongoing
program/service, explain how it will be sustained after foundation
grant funding ceases.
- If the proposed program involves a significant
one-time expense, demonstrate how this will result in a sustained
benefit to the service population.
III. Budget (15%)
- Submit a detailed line-item budget using the
foundation’s
Program Budget Form for listing income and expenses for this
specific grant and related budget, including a list of funds
already available or pending for the program and a budget narrative.
- For general operating support, submit a detailed operating
budget using the foundation’s Operating Budget Form.
- If your request is for a multi-year grant, include a multi-year
budget.
IV. Additional Financial Information
- Organization’s current
annual operating budget and actual income and expenses for most
recently completed fiscal year.
- Organization’s most recent audited financial statement
and, if available, the auditor’s management letter.
(Please explain any identified management issues and your
plan to prevent them in the future.)
- Most recent Form 990 filed with the IRS.
- If an audited financial statement or Form 990 is not available,
include an unaudited financial statement.
- Organization’s three largest funders in the last
fiscal year, with amount of funding and type of grant.
V. Attachments
- One copy of the organization’s Internal Revenue
Service letter granting it tax-exempt status, or
- A letter from a tax-exempt organization agreeing to act as
fiscal sponsor together with one copy of that organization’s
Internal Revenue Service letter granting tax-exempt status.
- Current board member list, including board member affiliation
information, plus a list of officers and directors or a list
of advisory board members.
- If the proposed work or services include multi-agency collaboration,
submit letters of agreement from collaborating agencies.
- Extended
timeline for multi-year requests.
- Organization’s latest
annual report or summary of prior year’s activities, if
available.
- Resumes or job descriptions of key staff and/or consultants.
Your application will not be considered until all materials are
received by the foundation.
Download the
grant application packet.
|