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TBJF—LOI Summer Submission 2024
Please complete the following fields indicated as required, as well as any fields that apply to your request in particular.
* Indicates required question
Email
*
Record my email address with my response
Organization Name
:
*
Your answer
Nonprofit EIN #:
*
Your answer
Contact Name & Title:
*
Your answer
Contact E-mail Address:
*
Your answer
Executive Director:
*
Your answer
Website:
*
Your answer
Complete Mailing Address:
*
Your answer
Mission Statement:
*
Your answer
Total Dollar Amount Requested:
*
Your answer
Geographic Area(s) Nonprofit Serves:
*
Your answer
Population/Age Served:
*
Your answer
Type of Support Requested:
Select all that apply
*
Program
Project
Operational
Capital
Unrestricted
Other:
Required
Note:
If total amount requested is divided among Program/Project, Operational, and/or Capital Campaign Support, please complete applicable categories below:
For Program or Project Support (PP):
Please complete the fields below
Name and brief description of Program or Project (1-2 sentences):
Your answer
Total cost of this PP:
Your answer
Amount requested for this PP:
Your answer
Above PP amount requested as a % of total PP Cost:
Your answer
If applicable, briefly describe how funding would benefit members of the Hays County community—including the anticipated number served:
Your answer
Have you received other outside funding for this PP to date? If Yes, enter amount:
Your answer
For Operational Support (OS):
Please complete the fields below
Enter Operational support type (select all that apply):
Salaries
Rent
Supplies
Unrestricted
Other:
Additional information on above selected Operational support type or types (optional):
Your answer
Total Operating Expenses (OE):
Your answer
Amount requested for OS:
Your answer
Above OS requested as a % of Total OE:
Your answer
If applicable, briefly describe how operational support will serve the members of the Hays County community—including the anticipated number served:
Your answer
Have you received other outside OS for this need to date? If Yes, enter amount:
Your answer
For Capital Campaign, Endowment or Comprehensive Campaign Support:
Please complete the fields below
Start Date:
MM
/
DD
/
YYYY
Completion Goal Date:
MM
/
DD
/
YYYY
Total Campaign Cost:
Your answer
Total amount requested:
Your answer
Total Raised to date:
Your answer
Please include any additional information below that is pertinent to your LOI:
*
Your answer
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