Application 1Organization2Financial3Application4Promotional content Form tips and important reminders » Once you submit the application, you will not be able to edit it later.» You can use the "Save and Continue Later" option at the bottom of every page to save your progress. You'll be provided with a link to come back to the form with all your content saved. We recommend you use this feature often – especially before your final submission.» We won't be notified your form is completed until you've successfully submitted at the very end. Until you've received a copy of your form via email, your content has not been submitted to us!Preliminary informationPlease note that once you submit the application, you will not be able to edit it later. What is the name of your organization?* If your organization is commonly known by an acronym, please spell it out and put the acronym in parenthesis.Does your organization have a specific name for c3 purposes? Organization website URL* Org Facebook page URL Organization Twitter handle Organization mailing address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code If you are selected for a grant, where should the check be mailed? Please use a PO box only if your organization has no other address.Development director informationIt's okay if your organization doesn't have a development director. But in that case, just list the primary contact.Development director name* First Last Development director phone*Development director email* In what timezone is your development director? US Eastern US Central US Mountain US Pacific Executive director informationExecutive director name* First Last Executive director phone*Executive director email* Do you have a fiscal sponsor that will be accepting granted funds on your behalf?* Yes No Fiscal sponsor contact name* First Last Fiscal sponsor contact phone or email address* Fiscal sponsor mailing address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code If selected for funding, to which mailing address do you prefer we send the grant check?* Organization mailing address Fiscal sponsor mailing address Because a fiscal sponsor is accepting funds on your behalf, the W-9 form you upload below should reflect your fiscal sponsor's information not yours.Please upload your completed W-9 form*Accepted file types: pdf, Max. file size: 50 MB.A W-9 form is required for funding. If you need a copy of the form, you can find it on this page of the IRS website.If selected for a grant, which type of money would you prefer?* c3 funds c4 funds No preference Prefer c4 funds but will take c3 funding if available sooner Funding is limited for c4 groups each month. You cannot change this preference if your organization is selected for funding. Please make sure that your preference is correct and final on this question before submitting your application.If you're requesting any c4 funds, please provide a brief explanation of how they would be used.The final determination of funds to be granted is at CREDO's discretion.Is your entity registered as a non-profit with the IRS, and if so, as a 501(c)3 or a 501(c)4?* Registered as a 501(c)3 Registered as a 501(c)4 Not registered with the IRS Is the entity in good standing with the IRS? Yes No Please upload your IRS determination letter if availableAccepted file types: pdf, Max. file size: 50 MB.PDF file only.Is your organization incorporated? Yes No If your organization is incorporated, in what state was it incorporated and in what year? Are your financials publicly available? Yes No Are financial statements available? Yes No Do you conduct an annual audit? Yes No Provide brief financial information for your last fiscal year, including: contributions/grants, program revenue, and total revenue.*Provide brief revenue information for your last fiscal year including: fundraising expenses, total compensation, and total expenses.*Is your organization currently named in any lawsuit which, if successful, would have a materially negative impact, or have your auditors issued a qualified opinion on any recent financial statements?* In what year was your organization founded?*What is the geographic scope of your work?* National International Other Please indicate which activities constitute at least 25% of your organization's work.* Direct service to clients Education of the public Idea/policy development Advocacy/organizing Other Check all that applyLet us know about previous or current relationships with Working Assets/CREDO.* Our organization has received CREDO funding in the past Our organization uses CREDO Mobile Individuals in our organization use CREDO Mobile Individuals in our organization use the Working Assets credit cards Our organization has partnered with CREDO on activism or advocacy campaigns Our organization has not partnered with CREDO previously Our organization was invited to apply to be a part of the Donations Program Check all that apply.Has your organization experienced any significant leadership changes in the past year? Do you anticipate any leadership changes in the coming year? How many board members do you have, and how many are employees of the organization?*Describe your most recent significant victories.*What projects, campaigns and/or goals will your organization be focused on in the next 6 months?*What differentiates your organization from others in your same space and focus area?*What impact would a general support grant from CREDO Mobile have on your organization?* Promotional contentIf selected for CREDO funding, we encourage you to engage your members in the CREDO donations program by inviting them to vote to distribute our donations. Please note that we do not require this outreach by our grantees, but welcome the participation. You will receive a custom organization landing page, where we have the ability to feature specific content about your organization and your partnership with CREDO. The following questions and requested content will help both you and CREDO to prepare promotional materials for engaging your members. If you are selected for a CREDO grant, does CREDO have your permission to reference your organization as a recipient of our funding in our promotional materials and our customer communications?* Yes No Should you be selected for funding, is your organization willing to promote the CREDO Donations program via email to your members?* Yes No What is the size of your email database?*Would you be willing to promote voting to your members via the additional channels listed here?* Promote on your website Promote on your social media accounts (Facebook, Twitter, etc.) Promote in your newsletter and/or blog Provide swag for a CREDO giveaway Promote with a press release Other None Select all that apply.If selected for a CREDO donation, would your executive director be open to the possibility of doing a Facebook live Q&A with CREDO? Yes, remotely No If selected for a CREDO donation, would your organization be interested in being featured in our blog via a Grantee Highlight post? Yes, we would be interested and can help write it Yes, if CREDO could write on our behalf No What other kinds of promotional work would you do? The more votes that a grantee receives during the month they are featured on the CREDO ballot = more dollars they receive. Promotion during the month helps to increase grantee votes and grant dollars.Are there certain months that would be better or worse for your organization to be chosen as a CREDO grantee? Please consider bandwidth to promote and other campaigns that may add or hinder your participation in the next year.*CREDO selects grantees nearly 3 months ahead of time and keeps applicants on file for a year.
