© 2019 WithMerci Foundation

Partnership Application Questions

DUE DATE: March 21, 2019

The partnership application must being completed using our online application process. We suggest reviewing the application questions and requirements below, composing your application in a separate program such as MS Word and copying your answers into the online application.

**Note** You will need to use a Google account to complete this application.

Required Documentation

The following documents will need to be uploaded into the online application.

  • Board of Directors List

  • Articles of Incorporation

  • By-Laws

  • Proof of 501(c)(3) status.

Application Questions

 

I. GENERAL INFORMATION:

All applicants must be servicing children and families of children with cerebral palsy.

 

Applying Organization:

Location:

Mailing Address:

Telephone Number:

Contact Person and Position with Organization:

Email Address:

Federal EIN Number: 

II. ORGANIZATIONAL HISTORY:

Please provide an overview of your organization (1,000 characters or less).

  • State the target population and the need or problem you plan to address.

  • Describe the work your organization will do to address the need or solve the problem.

  • Describe the accomplishments your organization expects to achieve.

 

III. SUMMARY:
This is a summary of your proposed use of funding (4,000 characters or less).

  • Discuss programs and advocacy services provided for children and families with children living with Down syndrome.

  • How will the funding be used in support of children and families with children living with Down syndrome?

  • Provide a “need statement” that is data driven.

 

IV. ATTACHMENTS:

Please attach the current

  • Board of Directors

  • Articles of Incorporation

  • By-Laws

  • Proof of 501(c)(3) status.

 

V. MISSION & VISION:

How does your vision and mission align with that of the WithMerci Foundation? Discuss how children and families of children with disabilities and special needs directly benefit from services offered with your organization.

 

VI. MANAGEMENT CAPACITY

Describe your organization’s experience in managing and operating under the guidelines of receiving funding from a non-profit organization.

  • Please provide the name(s) and qualifications of the person(s) that will be primarily responsible for the implementation of how the funds will be utilized.

 

VII. APPLICATION CERTIFICATION: 

Undersigned hereby certifies that

  1. The information contained in the funding application is complete and accurate.

  2. The applicant agrees to comply with all of The WithMerci Foundation and Federal guidelines set forth if awarded funding.