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

Zip/Postal Code

Main Phone Number

Please do not enter dashes or parentheses.

Website

Organization Type

Nonprofit (501c3)Government entitySelect 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.

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.

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?

YesNoNot sure

Type of Funder	Name of Funder	Amount Leveraged	Status of Funding
		Please round to the nearest whole dollar, and do not enter dollar signs or commas.

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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