SeaChange Inquiry Form

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Thank you for your interest in SeaChange. This form is intended to collect information that will make our first conversation more productive.

If you are applying for a grant to support a merger or collaboration, then BOTH organizations must fill in the form.

Many of the questions in this application are mandatory but to see all the questions without needing to fill in the answers, please see this sample form.

Please feel free to reach out to us at any time at info@seachangecap.org if you would like to discuss your situation directly before completing the form.

Please note:

For inquiries related to higher education, please use our higher education form instead.
After you press 'Submit', you will be asked to review your completed inquiry. We will not receive a notification for your submission until you click 'Confirm'. While we can view drafts as they are populated, we will not be notified of your inquiry until you have confirmed your finalized submission.

Contact Information

Last Name

First Name

Phone Number

Use format ###-###-####

Title

Organization

EIN

Website

Nature of Inquiry

If you are interested in a grant or loan but have not yet had a conversation with the SeaChange team, we are happy to discuss your situation and our funding process prior to your completing the full grant or loan application. If you'd like to do so, please email info@seachangecap.org. Please also note that our grants and loans are only available to registered 501(c)(3) nonprofit organizations - not individuals or for-profit entities.

What are you interested in?

Please elaborate on the situation and how you think SeaChange might be able to help.

Please explain further.

How did you learn about SeaChange?

Please explain:

If you are seeking a loan from NYC Bridge Funding for the Arts (NYCBFA), please use the NYCBFA loan application form instead here.

Organization Information

Contact Information

Last Name

First Name

Title

Phone Number

Is the primary contact also the Executive Director / CEO?

Executive Director

Last Name

First Name

Phone

Title

Organization

Street Address

Town/City

State

Zipcode

Legal Status:

EIN

Please briefly describe the organization's mission and core programs/services.

Contact and Organization Information (Organization Two)

Contact Information

Last Name

First Name

Title

Phone Number

Use format ###-###-####

Is the primary contact also the Executive Director/CEO?

Executive Director

Last Name

First Name

Phone

Title

Organization Information

Organization

Website

Street Address

Town/City

State

Zipcode

Legal Status:

EIN

Use format ##-#######

Please briefly describe the organization's mission and core programs/services.

Loan Application: Loan Information

What type of loan are you seeking?

Please briefly describe how you will use the proceeds of the loan.

What is the total amount of the loan that you are seeking?

How long do you expect to need the funds?

How will you repay the loan?

Please explain what conversations you have had with traditional lenders (e.g. banks or CDFIs). Why is the loan not easily financed by these lenders?

What will the funds allow you to do in terms of program impact and how will this be measured?

Is the board aware that you are seeking a loan?

Board Member

Merger and Sustainable Collaboration Application: Process Status

What is the status of the collaboration?

Please very briefly explain the potential collaboration and the current status of the process.

If this form is not being filled out by one of the contacts, please briefly explain who you are and what role you are playing in the proposed collaboration.

What best describes the type of collaboration you are proposing?

How long ago did discussions begin?

Who first initiated discussions?

Is this the first time the organizations have been in discussions?

If a Memorandum of Understanding (MOU), Term Sheet, or similar document has been signed by the organizations, please attach it:

What are the principal benefits of the proposed collaboration?

What are the principal risks associated with the proposed collaboration?

Have you estimated the one-time costs associated with exploring or completing the collaboration?

Please attach a spreadsheet with a breakdown of the estimated costs and note any which have already been paid.

Merger and Sustainable Collaboration Application: Process (continued)

In addition to a possible grant from SeaChange or its affiliated funds, how do you expect that the costs will be covered?

Funding from one or more of the organizationsNew Support from Existing FundersSupport from New Funders

Have other funders been approached for support?

If yes, please provide a list of potential and committed funders and their actual/expected levels of support.

Has a consultant/mediator/facilitator been engaged in the process?

Please explain who is retained (or who you expect to retain) and the process by which they were selected.

If you have signed (or expect to sign) an engagement letter, please attach it.

Consultation Inquiry

Which best describes your inquiry?

Please describe the situation that you face and how you believe SeaChange may be able to help.

Please rest assured that all information collected by SeaChange will be treated confidentially.

File Upload

Please upload up to three documents that you feel would be helpful in understanding your situation, if desired.

Document (#1)

Upload file:

Please describe Document (#1):

Document (#2)

Upload file:

Please describe Document (#2):

Document (#3)

Upload file:

Please describe Document (#3):

Thanks for your interest

We take confidentiality very seriously. However, in order to move forward with a grant or loan, we will need to seek approval from certain of our funding partners. Do we have your permission to share your information with our funders at this time?

We strive to be respectful of the scarce time of our potential nonprofit partners. How long did this form take you to complete?

Do you have any comments on what would make it more helpful?

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