GATEWAY CENTER FOR GIVING MEMBERSHIP APPLICATION
APPLICANT
MAIN REPRESENTATIVE, TITLE
ADDRESS
CITY
STATE
ZIP CODE
TELEPHONE
FAX
E-MAIL ADDRESS
WEBSITE
PRIMARY FUNDING INTERESTS
Arts/Culture
Community Development
Environment/Animal Welfare
Religion
Children, Youth and Families
Education
Health/Sciences
Social Welfare
Other (please describe) ___________________________________________________________________________________________________________________
TYPES OF FUNDING PROVIDED
Program
Operating
Research
Capital
Other (please describe) ___________________________________________________________________________________________________________________
TYPE OF GRANTMAKER
Community Foundation
Family Foundation/DAF
Public Funded Grantmaker (NOTE: this category has a different application form)
Corporate Foundation
Federated Fund
Professional Advisor
Corporate Giving Program
Private Foundation
Other __________________
GEOGRAPHIC FUNDING AREA(S)
Regional
Statewide
National
International
Other (please describe) ___________________________________________________________________________________________________________________
ANNUAL MEMBERSHIP DUES SCHEDULE
ANNUAL REGIONAL
CONTRIBUTIONS
Under $50,000
$50,000 - $99,999
$100,000 - $249,999
$250,000 - $499,999
$500,000 - $749,999
$750,000 - $1,499,999
$1.5 Million - $2,999,999
$3 Million - $4,999,999
$5 Million and Over
Community Foundation
Federated Fund
Public Funded Grantmaker
ANNUAL
DUES
$750
$1,000
$1,750
$3,000
$4,500
$6,000
$7,000
$8,000
$9,000
$2,000
$2,000
DUES PLUS+
In addition to my dues,
I would like to add the
following amount for
general operating:
(ex: $100, $250, $500)
ENDING MONTH/DATE OF PRIOR FISCAL YEAR
______________________
TOTAL GRANTS MADE IN PRIOR FISCAL YEAR
______________________
REGIONAL GRANTS IN PRIOR FISCAL YEAR
______________________
SIZE OF AVERAGE GRANT
______________________
MEMBERSHIP DUES BASED
ON REGIONAL GRANTS IN PRIOR FISCAL YEARS
_____________________
$__________________
Separate form
SUPPLEMENTARY INFORMATION: To help better serve your needs, please provide the following items with your application.
List of grants made in prior fiscal year, agencies supported and dollar amounts
Giving guidelines
Annual report
Trust document (if applicable)
Form 990-PF (if applicable)
Board, Trustees or Allocations Committee list
GATEWAY CENTER FOR GIVING MEMBERSHIP APPLICATION
Founded in 1970, the Gateway Center for Giving (Center) is the region’s premiere resource on philanthropy. Organizations
and individuals holding stake in philanthropy rely on the Center for education, research, training, information sharing and
networking services to help their charitable gifts achieve maximum impact.
The Center’s vision is for a thriving St. Louis region in which a strong philanthropic community and effective nonprofits
collaboratively advance the quality of life of our citizens. We work to realize that vision with a mission to provide services
that expand and strengthen philanthropy to enhance the St. Louis region. We are guided by the values of clarity of purpose,
respect, inclusiveness, stewardship and responsiveness.
Membership Eligibility
The Center’s members are foundations, corporations, trusts, and donor advised funds. Membership is open to
organizations and their representatives whose primary activity is the making of grants for charitable purposes.
Final approval of applicant members is made by the Center’s Board of Directors or Executive Committee and is based on
the applicant’s fit with the eligibility criteria stated above.
Conditions of Membership
In being considered for membership, an organization or individual must indicate willingness to:
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Complete the attached application;
Act as an organized grantmaker in support of issues that advance the community as a whole;
State a desire to enhance their grantmaking activities;
Agree not to use their membership or the Center’s programs to solicit* donations or business (if members feel
that solicitation has occurred this can result in revocation of membership with no refund of member dues);
Adhere to any and all Internal Revenue Service codes relating to foundations, individuals, or other grantmaking
organizations that carry out charitable activities;
Commit to equal opportunity practices in hiring and grantmaking;
*Solicitation includes but is not limited to: use of member contacts to promote and/or direct ask for business or funding
and/or engaging in those types of activities during Center events and programs.
My signature below indicates that I have reviewed and will adhere to the conditions of membership in the Gateway Center
for Giving
Signature of Main Representative
Date
Signature of GCG Representative
Date
The Gateway Center for Giving is a nonprofit 501(c)(3) organization dedicated to providing services
to expand and strengthen philanthropy and improve the St. Louis region.
Please return your completed application and supplementary information to
Gateway Center for Giving at 1141 South 7th Street • St. Louis, MO 63104.
For more information, call Deborah Dubin, CEO & President at (314) 621-6220 or e-mail deb@centerforgiving.org
GCG Board
Approval
GCG Staff
Approval