APT Charities Grant Application Part 1 Overview: Initial Application APT Charities seeks to fund outstanding organizations in their pursuit of using data and information to make better decisions and increase their impact. We support "data-oriented," non-religious, nonpolitical organizations, broadly defined below: - Organizations with a strong history of using data to inform and evaluate their decision making Organizations that want to use the grant funds to invest in collecting, validating, or using data Organizations building any kind of analytic capability At this time, we are accepting applications from organizations with 501(c)(3) status, with pending 501(c)(3) status, and global organizations. APT Charities expects to fund grants ranging in size from $10,000 to $15,000. This application contains four sections: Organization Information, Program Information, Documentation, and Additional Information and Signatures. The deadline for submission is May 31st, 2015. Applications will be reviewed, and organizations will be notified of their standing the week of June 8th, 2015. Advancing applicants will need to submit a detailed budget and program impact logic model for thorough evaluation to inform final selection. If your organization is competitive but not chosen for this grant cycle, you can rollover your application to the next cycle via a streamlined process. If applicable, APT Charities will contact you after June 15th to discuss the details. APT Charities is not obligated to select a grant winner each cycle. Applications may be submitted the following ways: - Complete online application form (pending) Email application form to grants@aptcharities.org Print and mail application form to the following address (postmarked by May 25, 2015): APT Charities Grant Applications 901 N Stuart Street Suite 1000 Arlington VA 22203, USA Please direct any questions to the APT Charities applications committee: grants@aptcharities.org 1 Part 2 Overview: Detailed Follow-Up After submitting the Initial Application, select organizations will be asked to submit a detailed project budget and program impact logic model to inform final selection. Organizations will be notified of their standing the week of June 8th, 2015 and will have three weeks (week of June 29th, 2015) to submit the follow-up materials. Section 1: Project Budget Please submit a budget for this project outlining major expenses and revenue from other sources (if applicable). Section 2: Impact Logic Model Please prepare an overview of the logic model for the impact of your proposed investment (suggested limit 750 words). Possible questions to consider include: - What is the problem you are solving (internal or external)? What is the goal of the program? What resources will you invest? What activities will you do exactly? What outputs do you expect? How will these outputs affect outcomes? How do these outcomes meet your goal? What rationales and assumptions is your model based on? For more information about logic models, please see Nonprofit Resource Center. 2 Part 1: Initial Application Section 1: Organization Information We are not giving grants to religiously or politically affiliated organizations at this time. Organization Name Year Founded Mission Please limit response to 1-3 sentences Federal Tax Exempt ID Required for organizations that operate in the US Address Contact Person Name Contact Title Contact Email Contact Phone Number Section 2: Program Information Suggested limit for each response: 250 words NEED: Describe the community need(s) you intend to address through this project USE OF FUNDS: How much money are you requesting? (APT Charities expects to fund grants ranging in size from $10,000 to $15,000.) How will it be used? Will the project need additional funding this year or in future years? How do you propose to get this funding? SUCCESS: What impact will these funds have on your beneficiaries? How will you monitor this project’s success in meeting its goal, both during the project and after its conclusion? 3 TIMING: To what extent is this application time-sensitive? What is the window of opportunity for which the funds are needed? For example, if funds are required by a certain date to make a go/no-go decision, please specify the relevant dates and details here. Section 3: Documentation Please attach a copy of each required document. If any document is Not Applicable, or if there is any difficulty in obtaining these documents, please give a brief explanation under "Additional Information" or contact us at grants@aptcharities.org. - Organization’s operating budget with total revenues (including sources of funding) and expenses for (1) last fiscal year and (2) current fiscal year Most recent audited financial statements if annual budget is more than $250K For organizations operating in the US: Copy of the current IRS determination letter indicating tax-exempt status under section 501(c)(3) or, if pending, an explanation of application status Has your organization been the subject of a government audit, or has your nonprofit status been challenged by any entity in the last 24 months? Choose one response: NO YES - and we will be able to provide additional details N/A Section 4: Additional Information and Signatures Please keep in mind that this is only the initial application, and a more thorough evaluation will begin the week of June 8th if your organization advances. Additional Information Fill this out if there is anything more you would like us to know about this application. If any of the required documents are not available, please give an explanation here. If your organization does not have 501(c)(3) status, please explain here. Signature of Authorized Official An authorized official may include the Executive Director, Project Director, or other representative from your organization. Date 4