Fiscal Sponsorship Intake Form - TheGAC 2026
Please complete this intake form to help us evaluate fiscal sponsorship. Attachments can be shared via links (Google Drive, Dropbox, etc.).
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Section 1: Organization Information
Date Established *
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Website/Social Media Links
Legal Status (if any) *
Primary Contact Name *
Title/Role *
Phone Number *
Email Address *
Mailing Address *
Section 2: Mission & Program Details
Mission Statement *
Brief Description of Programs/Services *
Target Population *
Required
Geographic Area Served *
Required
Current Activities or Events
Section 3: Financial Information
Estimated Annual Budget (USD) *
Current Funding Sources
Do you have any existing grants or donations? *
Expected Revenue for Next 12 Months (USD)
Do you need assistance with fundraising?
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Section 3a: Existing Awards Detail
List existing grants/donations (funder, amount, term, restricted/unrestricted)
Section 4: Governance & Compliance
Do you have a Board of Directors? *
Number of Board Members
Do you have bylaws or governing documents? *
Are you registered as a nonprofit in any state? *
Section 4a: Registration Details
State(s) of registration & EIN (if applicable)
Section 5: Fiscal Sponsorship Needs
Why are you seeking fiscal sponsorship? *
What services do you need? (check all that apply) *
Required
Preferred Start Date
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YYYY
Anticipated monthly transaction volume (# of donations/expenses)
Section 6: Attachments / Links
Organizational Budget (link)
Program Plan or Proposal (link)
Any Existing Agreements or MOUs (link)
Section 7: Acknowledgment
Certification: I certify that the information provided is accurate and complete. *
Required
Typed Name as Signature *
Date *
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YYYY
Submit
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