Application Forms::The Stevens Square Foundation Home Page

Only complete proposals will be accepted. Please send only one copy of your proposal packet, unbound and single sided.

Application Cover Form

Please carefully complete the Stevens Square Foundation Application Cover Form (see link at bottom of the page). The information you provide on this form is an essential part of your grant application package.

Proposal Narrative

The proposal narrative (items numbered 1 – 6) should be limited to five pages and should contain the following:

1. Current Programs – Brief description of the organization’s current programs or activities, including any service statistics, strengths and accomplishments.

2. Relationship to Other Organizations – Your organization’s relationship to other organizations working with similar missions and serving similar populations; what is your organization’s role relative to these organizations.

3. Older Adults – Stevens Square Foundation grant funds are focused on support services provided to older adults (55 years of age or older).

Please provide data to describe the percentage of your program participants who are older adults, and those who are not older adults.
Please describe your service populations, and how your program or project is designed to accommodate the varying needs of the populations that you have identified.

4. Needs – Describe the opportunity, challenges, issues or needs, and the older adult community your proposal addresses.

5. Research – Describe how that focus was determined and who was involved in that decision making process.

6. For the proposed activities, please describe:

Overall goal(s) regarding the situation described above;
Objectives or ways in which you will meet your goal(s);
The specific activities you will use to meet your goals, who will carry out the activities, and the time frame of the activities;
How the proposed activities will impact the older adult community and the larger community in which they occur. Please be as specific as you can.
How you will measure these impacts, will there be an evaluation, and who will be involved in the measurement and evaluation.
Long term strategies (if applicable) for sustaining this effort.
Fit within guidelines – please describe how this project fits within the mission, vision and values, guidelines, and priorities of Stevens Square Foundation.

Required Attachments

In addition to the above items, the following information must be submitted with your proposal:

Financial Statements – Your most recent audited financial statement. If your organizational size does not require an independent audit, please include a copy of your most recent completed and signed IRS 990 tax form.

Organizational Budget – Current year (projected) and previous year (actual) approved by your Board of Directors; include income and expenses categories. In addition, please include a first quarter update on your organizational budget, including income and expenses.

Project or Program Budget (if applicable) – including income and expense details. Please indicate how this budget fits into the organizational budget.

Additional Funders – List the names of corporations and foundations from which you are requesting funds for this project, with dollar amounts. Indicate which sources are committed or pending.

Board Members – list names, terms, and affiliations

Key Staff – Brief Description of key staff for the project, including their qualifications relevant to the grant request.

IRS Determination Letter – Your organization’s IRS determination letter indicating tax-exempt 501(c)(3) status. If your organization’s IRS status is 509(a)3, please include a letter from your attorney identifying, as defined by the IRS code, whether and why the organization is classified as Type I, II or III and is or is not functionally integrated.