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2021 Responsive Program Grant (RPG)
Application

Please make sure you have reviewed all grant application guidelines on our website prior to beginning this application.

Oregon Humanities Responsive Program Grants are meant to enable nonprofit organizations and federally recognized tribes in Oregon to address urgent or timely issues in their communities in order to connect and support Oregonians in finding community-based solutions.

If you have questions about this form or the application process, please contact grants@oregonhumanities.org

This application has 5 parts:

Program Snapshot
Organization Information
Grant Details
Contacts
Community Demographics

*All Fields are Required*

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1 - Program Snapshot

Program Title

Program Start Date

Program End Date

Anticipated dates of grant-funded event(s)

Approximate number of program participants (numerals only)

Oregon Humanities grant request amount ($1,000 maximum)

.00

Total Program expense budget

.00

2 - Organization Information

Organization Name

Street Address

City

State

Zip Code

Website

Phone

Mailing Address is different than Street Address

Mailing Address

Street Address

City

State

Zip Code

Organization is a:

501(c)(3) nonprofit organization located in OregonFederally recognized Tribe Community-based group located in Oregon that is submitting with a fiscal sponsor with 501c3 status

Fiscal Sponsor

NEW THIS YEAR: before applying with a fiscal sponsor you must get permission from Oregon Humanities. Please save the form and email grants@oregonhumanities.org.

Organization Name

Street Address

City

State

Zip Code

Executive Director

First Name

Last Name

Phone

Ext

Please attach your letter confirming fiscal sponsorship.

Please upload your organization's current W-9 form, in PDF.

Your PDF should be named: "Your Organization W-9 2021"

3 - Grant Details

What is the current complex public issue that you are responding to/trying to help the community explore, in a timely and responsive manner? What sparked the need to convene the community to explore solutions to the issue?

Describe the Program Format

Describe your organization’s relationship to the topic and the organization’s relationships to those impacted by the topic.

How will your programming center the perspectives and life experiences of those who are most impacted by the program’s topic and build towards empowering the community to address such challenging topic(s) in the future?

What are the desired outcomes you hope to see and how will you measure success relative to the program's timeline/scope?

Given the realities of COVID-19, how have you designed your program to comply with the current guidance around gatherings, what, if any, back up plans do you have for programmatic flexibility?

Describe how the grant funding will be used. We will use this to understand how the funds will be used as we do not require a budget submission.

4 - Contacts

Grant Manager

This is the Primary Contact for all communication regarding this grant for its entire cycle. You must notify Oregon Humanities of any changes to this role.

First Name

Last Name

Organization

Title

Phone

Ext

Form completed by

First Name

Last Name

Organization

Title

Submitter's Email

Phone

Ext

Authorizing Official

Please provide a contact who is an authorizing official at the applicant organization, such as board chair or executive director. This person should be different than the person completing the application.

First Name

Last Name

Title

Phone

Ext

Authorizing official's address is different from applying Organization's Address

Street Address

City

State/Province

Postal Code

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African	African American / Black
American Indian / Native American / Alaska Native	Asian
Asian American	Hispanic
Latino/a/x	Middle Eastern / North African
Pacific Islander	Slavic
White	Multiracial
Identity not listed

2021 Responsive Program Grant (RPG)
Application

1 - Program Snapshot

3 - Grant Details

4 - Contacts

5 - Community Overview

Communities of Color

Rural Communities

2021 Responsive Program Grant (RPG) Application

1 - Program Snapshot

3 - Grant Details

4 - Contacts

5 - Community Overview

Communities of Color

Rural Communities

2021 Responsive Program Grant (RPG)
Application