Community Response Funding Request

Guidelines

West Marin Fund welcomes funding requests from nonprofits that are addressing the impact of the COVID-19 crisis in West Marin by:

Providing essential services to communities, households and individuals who live and work in West Marin;
Creating equitable, long-term, cross-issue solutions in West Marin;
Collaborating with other non-profits and agencies to support those facing the greatest hardship—particularly residents and workers with limited or no access to Federal and State funds, low-income families with children, and isolated seniors.

Organizational Contact Information
Unique ID
Organization*
Provide the full name of your organization, group or collaborative and the acronym if you typically use one.
Location of Organization*
Where is your organization, group or collaborative located?
Location (Other)*
Mailing Address*
Provide your physical mailing address.

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code
Website*
Do you have a website?
- Yes
- No
Url
If yes, please provide your url here. (include http:// or https://)
Name of Contact Person*
First Last
Role with Organization*
Contact Person's Email*
Primary Phone #*
Secondary Phone #
Nonprofit Status
Are you a 501(c)(3) organization?*
EIN*
Provide your organization's employer identification number.
Do you use a fiscal sponsor?*
Fiscal Sponsor*
Provide the name of your fiscal sponsor.
Questions
What essential services does your organization provide in West Marin?*
What populations does your organization serve in West Marin? Please be specific.*
How is your organization creating equitable, long-term, cross-issue solutions in West Marin?*
Which organizations and agencies does your organization regularly work with to support those facing the greatest hardship in West Marin?*
What does your organization plan to accomplish with this funding, if awarded?*
Proposal
Proposal Title
Proposal Summary*
Please describe briefly what the funding would be used for.
Funding
Amount Requested*
($2,000-$15,000)
Please enter a number from 2000 to 15000.
Budget
Please give a breakdown of how the funds would be spent.
What other funds do you have to allocate to this activity?
Please identify approximate amount and from what source so we can understand where there is collaborative effort and avoid duplication.
Name
This field is for validation purposes and should be left unchanged.

Community Response Funding Request

Guidelines

West Marin Fund welcomes funding requests from nonprofits that are addressing the impact of the COVID-19 crisis in West Marin by:

Organizational Contact Information

Nonprofit Status

Questions

Proposal

Funding

If you have any questions regarding your application, please contact us for support.