Dining for Women

2019 1H Dining for Women Letter of Intent

Thank you for your interest in Dining for Women. The LOI submission deadline is 11:45 pm EDT April 24, 2018. This electronic submission requires that all required documents are included with the submitted form.

This online application cannot be saved and must be fully completed before submission.

You will receive a confirmation email after submitting the form. If you do not receive a confirmation email, then we have not received your application!

Questions should be addressed to Dr. Veena Khandke, Director of Grants and Partnerships.

Agreement: *
I have read and understand the guidelines. I certify to the best of my knowledge that I am eligible to apply for a DFW grant.
Organization Name *
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
US Federal Tax ID # *

Your organization must be a registered public charity with a 501(c)3 status. If your organization is fiscally sponsored, the sponsor organization must have a 501(c)3 status. A valid federal tax ID is required and the application will not be considered if this information is not provided.
The tax ID # above is: *
Our organization's Our US Fiscal Sponsor
Organization website *

There must be a current website and it must be in English
Organization Mission and History *
Maximum Allowed: 100 words. Currently Used: 0 words.

You are permitted 100 words or less
Contact Name * First Last
Title *
Phone Number * ### - ### - ####
Email *
Year Founded *
Organization's Annual Budget *

in U.S. Dollars. Do not use $.
What is the total size of your US Board? *

If using a Fiscal Sponsor, present their data.
How many members of your US Board of Directors are women? *

If using a Fiscal Sponsor, present their data.
How many members of your US Board of Directors are men? *

If using a Fiscal Sponsor, present their data.
What is the total size of your in-country Board?
How many members of your in-country Board of Directors are women?
How many members of your in-country Board of Directors are men?
US Fiscal Sponsor Information

Complete this section ONLY if you are sponsored by a U.S. non-profit organziation
Sponsor Organization Name
Sponsor website

A sponsor website is required
Sponsor Contact First Last
Sponsor Contact Phone Number ### - ### - ####
Sponsor Contact Email
Relationship to Fiscal Sponsor

In a sentence or two, please describe the length and nature of your relationship to your fiscal sponsor.
Program/Project Information
Project Title *

Name of the program to which DFW funds will be applied
Grant amount requested *
Enter a number between 35000 and 50000.

Grant requests should be between $35,000 and $50,000. Grant amount can be distributed over two years. Enter only numerical values. Example: 35000
Are you requesting grant be distributed over two years? *
Country of project location *

Projects within the USA do not qualify.
City or Region of project location *
Issue Area *
Maternal/child healthcare Women's healthcare Sex/human trafficking Food and water security Women's leadership Policy, law, advocacy, property rights Education Environmental sustainability Other

Check up to two areas that best describe the program for which DFW funds will be used.
Need addressed by project *
Maximum Allowed: 100 words. Currently Used: 0 words.

Please describe the specific need the program will address in 100 words or less.
Women's Leadership *
Maximum Allowed: 150 words. Currently Used: 0 words.

In what ways are women/girls who benefit from the program represented in leadership and decision making? 150 words or less.
Project Description *
Maximum Allowed: 450 words. Currently Used: 0 words.

Please briefly describe the goals of the program/project, specific objectives, and accompanying strategies. 450 words or less.
Key collaborations with other organizations *
Maximum Allowed: 100 words. Currently Used: 0 words.

Is work being done collaboratively with other organizations to implement the project? If so, please identify them and their mission.
What makes this project unique? *
Maximum Allowed: 100 words. Currently Used: 0 words.

Is there anything that makes this project unique from similar programs or projects. Describe in up to 100 words.
Have you previously applied for a DFW grant? *
If yes, in which year?
Is the grant requested a continuation of a previously funded project? If yes, describe.
Maximum Allowed: 50 words. Currently Used: 0 words.
How did you hear about Dining for Women *
If other, please explain
If you were referred by a DFW member, please provide their name.
Attach your program/project budget. If your total budget exceeds the grant amount requested, Please indicate clearly within your budget what you want DFW to fund *

All submitted documents must be in English and submitted with this form. Documents can be any file format except .exe, and cannot exceed more than 5 MB each. Form submission errors will cause uploads to stop. You may need to reattach the documents if that occurs.
Attach Your IRS Form 990 - full copy, most recent year *

If you are fiscally sponsored, this must be the sponsor's form 990 for the most recent year.
Attach your IRS Form 990 - full copy, previous year *

If you are fiscally sponsored, this must be the sponsor's form 990 for the previous year.
Attach Your IRS 501(c)3 determination letter *

If you are fiscally sponsored, this must be the sponsor's 501(c)3 determination letter.
Attach your organization's balance sheet. *
By submitting this Letter of Intent, you certify to Dining for Women that you are authorized to apply for this grant on behalf of your organization. *
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Dining for Women

US Fiscal Sponsor Information

Program/Project Information