Texas COVID Relief Fund | Application for Funding
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Texas COVID Relief Fund is no longer accepting applications for funding. This application is closed.
ORGANIZATION INFORMATION
Organization Legal Name
EIN / Tax ID Number
Mailing Address
City
State
Please select...
AK
AL
AR
AZ
CA
CO
CT
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip/Postal Code
Main Phone Number
Please do not enter dashes or parentheses.
Website
Organization Type
Nonprofit (501c3)
Government entity
Select one.
PRIMARY CONTACT FOR APPLICATION
First Name
Last Name
Direct Phone
Please do not enter dashes or parentheses.
Email
Job Title
AUTHORIZED OFFICIAL / SIGNATORY CONTACT
First Name
Last Name
Direct Phone
Please do not enter dashes or parentheses.
Email
Job Title
STRATEGIC CRITERIA: FOCUS AREA & GEOGRAPHY
Select the applicable focus areas for funding that your organization’s request will address.
Please select...
Education and Childcare
Health
Community and Economic Development
How many Texas counties does your organization currently provide services to/in?
Only organizations serving statewide or multi-county jurisdictions are eligible to apply. If your services are not limited by geography, please enter the number "254" to reflect reach to all Texas counties.
Select all counties where services will be provided. Click and hold CTRL to select multiple options.
Please select...
Statewide
Anderson
Andrews
Angelina
Aransas
Archer
Armstrong
Atascosa
Austin
Bailey
Bandera
Bastrop
Baylor
Bee
Bell
Bexar
Blanco
Borden
Bosque
Bowie
Brazoria
Brazos
Brewster
Briscoe
Brooks
Brown
Burleson
Burnet
Caldwell
Calhoun
Callahan
Cameron
Camp
Carson
Cass
Castro
Chambers
Cherokee
Childress
Clay
Cochran
Coke
Coleman
Collin
Collingsworth
Colorado
Comal
Comanche
Concho
Cooke
Coryell
Cottle
Crane
Crockett
Crosby
Culberson
Dallam
Dallas
Dawson
Deaf Smith
Delta
Denton
DeWitt
Dickens
Dimmit
Donley
Duval
Eastland
Ector
Edwards
Ellis
El Paso
Erath
Falls
Fannin
Fayette
Fisher
Floyd
Foard
Fort Bend
Franklin
Freestone
Frio
Gaines
Galveston
Garza
Gillespie
Glasscock
Goliad
Gonzales
Gray
Grayson
Gregg
Grimes
Guadalupe
Hale
Hall
Hamilton
Hansford
Hardeman
Hardin
Harris
Harrison
Hartley
Haskell
Hays
Hemphill
Henderson
Hidalgo
Hill
Hockley
Hood
Hopkins
Houston
Howard
Hudspeth
Hunt
Hutchinson
Irion
Jack
Jackson
Jasper
Jeff Davis
Jefferson
Jim Hogg
Jim Wells
Johnson
Jones
Karnes
Kaufman
Kendall
Kenedy
Kent
Kerr
Kimble
King
Kinney
Kleberg
Knox
Lamar
Lamb
Lampasas
La Salle
Lavaca
Lee
Leon
Liberty
Limestone
Lipscomb
Live Oak
Llano
Loving
Lubbock
Lynn
McCulloch
McLennan
McMullen
Madison
Marion
Martin
Mason
Matagorda
Maverick
Medina
Menard
Midland
Milam
Mills
Mitchell
Montague
Montgomery
Moore
Morris
Motley
Nacogdoches
Navarro
Newton
Nolan
Nueces
Ochiltree
Oldham
Orange
Palo Pinto
Panola
Parker
Parmer
Pecos
Polk
Potter
Presidio
Rains
Randall
Reagan
Real
Red River
Reeves
Refugio
Roberts
Robertson
Rockwall
Runnels
Rusk
Sabine
San Augustine
San Jacinto
San Patricio
San Saba
Schleicher
Scurry
Shackelford
Shelby
Sherman
Smith
Somervell
Starr
Stephens
Sterling
Stonewall
Sutton
Swisher
Tarrant
Taylor
Terrell
Terry
Throckmorton
Titus
Tom Green
Travis
Trinity
Tyler
Upshur
Upton
Uvalde
Val Verde
Van Zandt
Victoria
Walker
Waller
Ward
Washington
Webb
Wharton
Wheeler
Wichita
Wilbarger
Willacy
Williamson
Wilson
Winkler
Wise
Wood
Yoakum
Young
Zapata
Zavala
Click and hold CTRL to select multiple options. If your services are not limited by geography, select only the "Statewide" option.
NARRATIVES
Organization Description
Please describe your organization, including mission, a brief history, current focus, current programs, and recent accomplishments.
Limit to 1,000 characters
Needs Statement
What are the specific community need(s) your organization has observed as a result of the COVID-19 crisis?
Limit to 2,000 characters
Summary of Services/Project/Program
Provide a summary of the specific services to be provided that will address the need(s) stated above. If
applicable, please include the following information:
- Details on the audience you are targeting
- Distribution – how will you reach beneficiaries (channels, partnerships)
- Timeline for project implementation, including start & end dates and milestones
Limit to 2,000 characters
In a few sentences, please describe how the organization’s services will specifically address the needs of one or more of the vulnerable populations listed below.
-
Seniors
-
Children
-
Low-income or displaced workers
-
First responders
-
Medical professionals
-
Those without other resources
Limit to 1,000 characters
Provide an estimated number of clients served by this requested grant amount.
List up to three goals or objectives you hope to achieve, if awarded funds.
Goal
Limit to 250 characters maximum
If you are awarded funds, how will you measure outcomes?
Please describe any databases or grant management tools your organization uses and/or prior experiences reporting outcomes for other grants.
Limit to 1,500 characters maximum
Please list any/all partner organizations involved in this project/organization.
Limit to 750 characters maximum
FINANCIALS
What is your organization’s annual operating budget for the current fiscal year?
Please round to the nearest whole dollar, and do not enter dollar signs or commas.
Will your organization be able to leverage additional funding by receiving this grant?
Yes
No
Not sure
Type of Funder
Name of Funder
Amount Leveraged
Status of Funding
Please select...
Federal
State
Philanthropic
Other
Please round to the nearest whole dollar, and do not enter dollar signs or commas.
x
Please select...
Secured
Pending
BUDGET
Enter the total budget for providing the services described.
If applying for general operating funds, please enter your annual operating budget. Please round to the nearest whole dollar, and do not enter dollar signs or commas.
Requested Funding
Grants will be awarded in the range of $20,000 to $150,000. Please round to the nearest whole dollar, and do not enter dollar signs or commas.
Budget Narrative.
Please provide a budget breakdown for how the requested grant funding will be spent.
Limit to 1,500 characters maximum
Would you like to share any other details about your organization or services with us?
Limit to 1,000 characters maximum
DUE DILIGENCE & COMPLIANCE DOCUMENTS
W-9 Form
Limit to file size 50MB maximum
Current year's operating budget
Limit to file size 50MB maximum
Proof of 501(c)(3) Nonprofit Status
(e.g., IRS determination letter)
Limit to file size 50MB maximum
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