Independent Fiscal Sponsorship application
Please complete all required fields below before submitting!
How would you like your application processed?
Choose Application Type
Expedite application (10 days to process) - $165
Regular application (10-14 days to process) - $85
PROJECT INFORMATION
1. ORGANIZATION NAME (organization or production company that will have primary management responsibility for the project):
2. PROJECT NAME:
3. PROJECT PHONE:(or primary contact’s phone number)
4 a. PROJECT MAILING ADDRESS:
4 b. PROJECT TOPIC LOCATION:
5. PROJECT LINKS AND SOCIAL MEDIA:
a. WEBSITE:
b. FACEBOOK:
c. TWITTER:
d. YOUTUBE:
e. INSTAGRAM:
f. OTHER:
6. PROJECT TYPE:
Select One
Film
Photography
Multimedia
Music
Visual Arts
Theater
Literature
Dance
Drama
7. PROJECT CAUSE:
Select One
Human Rights
Climate Action
Youth Empowerment
Gender Equality
Health & Well-being
Education
8. STAGE OF DEVELOPMENT:
Development: Your project is still in the idea phase, developing a strategy, partnerships, and plan of action.
Production: Your project is in the creation phase, producing your media/art piece.
Distribution: Your media/art piece is completed, and you’re now sharing it with audiences.
Outreach: You’re engaging partners and communities to take action.
Implementation: You’re implementing your action on the ground.
9. PROJECT SUMMARY: In 400 words or less, provide a project synopsis. If accepted into CAP, this text will be used for the copy on your project’s profile page on CVF’s website. Where possible provide specific data regarding its reach and impact.
TEAM INFORMATION
Project Director: Indicate the key person on the project and include one sentence of bio/qualifications.
1. FIRST NAME:
2. LAST NAME:
3. EMAIL:
4. LOCATION:
Select One
Afghanistan
Boston
Brazil
Los Angeles
San Francisco
Cambodia
Canada
Cuba
Detroit
Egypt
Guatemala
Haiti
India
Iran
Israel
Kenya
London
Mexico
New York
North Carolina
Paraguay
Romania
Rwanda
South Africa
Uganda
UK
Other
5. BIO:
6. TEAM REFERENCES: Please give two references and contact info.
FISCAL SPONSORSHIP INFORMATION (all required)
1. ORGANIZATIONAL BACKGROUND:
Upload a current copy of Articles of Incorporation, Bylaws, or other organizational or governance documents. * If needing to upload multiple files, please .zip the files together.
Year organization was founded
Board of Directors and/or Board of Advisors (or anticipated directors/advisors)
Please list names & title/affiliations below:
2. BUDGET:
When you’re thinking about your projected/real revenues, include a percentage breakdown of where you expect your donations to come from in these categories.
Corporate
Government
Foundations
Individuals
In-Kind
Earned
Other
Please include an attachment with your actual results for the current year and the most recent 2 years (or actual period of existence if less) and your current budget including projections for the next 3 years.
3. FUNDRAISING: What are your current fundraising goals and strategies?
4. TAX STATUS:
a. Have you ever been granted or denied tax-exempt status by the Internal Revenue Service or any other state or local tax authority? (yes or no)
No
Yes
b. Have you ever had your tax-exempt status revoked by the IRS or any state or local tax authority? (yes or no)
No
Yes
