Nonprofit Repositioning Fund Grant Application

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Thank you for your interest in the Nonprofit Repositioning Fund. Please feel free to reach out to us at any time at lkijewski@seachangecap.org or (844) 869-7842 to discuss your situation directly before completing the form.

A Word document version of this application for both exploratory and implementation grants is available here.

Please note:

Information about ALL collaborating organizations is needed when completing this form.
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.
We highly recommend saving your progress regularly and/or drafting responses in a separate document to paste into the application when completed. The credentials used to save progress can also be shared with your collaborating organizations if you wish to work on the application together, but the form cannot be opened in two places simultaneously.
The file size of all attachments cannot collectively exceed 35MB. If it is necessary to include attachments above a cumulative total of 35MB, please email the attachments clearly labeled to grants@seachangecap.org.
If you encounter any technological issues or error messages, please reach out to reports@seachangecap.org.

Contact Information of Submitter

Last Name

First Name

Phone Number

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

Title

Organization

EIN

No hyphens ("-")

Website

Nature of Inquiry

If you have not yet had a conversation with the Nonprofit Repositioning Fund, we are happy to discuss your situation and our funding process prior to your completing the full grant application. If you'd like to do so, please email lkijewski@seachangecap.org.

How did you learn about the Nonprofit Repositioning Fund?

Please explain:

Project Stage

How many organizations are involved in this project?

How do the organizations know each other? Check all that apply.

Overlapping Board MembersCommon FundersJoint Programmatic WorkStaff ConnectionsOther

Please explain:

How long ago did discussions begin?

Who first initiated discussions?

Please explain:

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

How much are you requesting from the Fund?

Application_Key

Organization Information

Organization Information (Organization One)

Primary Contact Information

Last Name

First Name

Title

Phone Number

Is the primary contact also the Executive Director / CEO of Organization One?

Executive Director

Last Name

First Name

Phone

Title

Executive Director's Professional Bio

Organization

Street Address

Town/City

State

Zipcode

EIN

No hyphens ("-")

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

Financial Information (Organization One)

What type of organization is it?

501(c)(3) - Registered501(c)(3) - Pending501(c)(4)B-CorpFiscally-sponsored entityFoundationCollaborative/AssociationOther

If 'Other', please explain:

If 'Fiscally-sponsored entity', please explain the relationship:

How would you describe the organization's financial health?

In the most recent fiscal year, did the organization show a surplus, a deficit, or breakeven?

In the current fiscal year, do you expect a surplus, a deficit, or breakeven?

Primary reasons for considering this collaboration (select all that apply)

(Potential) departure of one or more Executive DirectorAdvancement of a shared goalCompetition for funding sources and/or clienteleDifficulty funding necessary technological initiativesDifficulty in meeting external standards/requirements imposed on our organizationsFinancial problems/pressures within one or more of the partnering organizationsFunder initiated/mandated the collaborationHigh/increasing costsRequest by parent organizationResponse to a community needResponse to a funding opportunityRecent changes to local/state/federal funding policies

If at all, how has this organization been impacted by shifts in the funding landscape/operating environment?

Do you receive, or have you received in the last three years, support from:

Barra FoundationBLBB CharitableComcast/NBCUniversalThe Connelly FoundationFoundations Community PartnershipHealthSpark FoundationIndependence FoundationThe Lodestar FoundationThe Nelson FoundationPatricia Kind Family FoundationPew Charitable TrustsThe Philadelphia FoundationRegional FoundationScattergood FoundationWilliam Penn FoundationNone of the above

Details of open grants with NRF participating funders (please list funder, type of funding, and amount for all open grants with funders listed above)

Current FY Operating Budget

Number of FTEs

Number of PTEs

Primary Regions Served (select all that apply)

Bucks CountyChester CountyDelaware CountyMontgomery CountyPhiladelphia CountySouthern New JerseyOther

If 'Other', please list additional regions served:

Primary Field of Work

Documentation

Please upload as much of the documentation requested below as possible for our due diligence process.

Note: While these materials are not mandatory at this point, they will be required to move to the next phase of the process.

Please be reminded that the cumulative total file size across all attachments submitted via this form cannot exceed 35MB. If it is necessary to include attachments above a cumulative total of 35MB, please email the attachments clearly labeled to grants@seachangecap.org.

File Upload

IRS Tax-Exempt Certification (if applicable)

Most Recent Financial Statements (audit preferred, unaudited or 990 are acceptable)

Current & Prior Fiscal Year Operating Budgets

Current Board Member List

Do you have additional documentation that you would like us to review?

Please upload up to three additional documents, if desired:

Contact and Organization Information (Organization Two)

Primary Contact Information

Last Name

First Name

Title

Phone Number

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

Is the primary contact also the Executive Director/CEO of Organization Two?

Executive Director

Last Name

First Name

Phone

Title

Executive Director's Professional Bio

Organization Information

Organization

Website

Street Address

Town/City

State

Zipcode

EIN

No hyphens ("-")

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

Financial Information (Organization Two)

What type of organization is it?

501(c)(3) - Registered501(c)(3) - Pending501(c)(4)B-CorpFiscally-sponsored entityFoundationCollaborative/AssociationOther

If 'Other', please explain:

If 'Fiscally-sponsored entity', please explain the relationship:

How would you describe the organization's financial health?

In the most recent fiscal year, did the organization show a surplus, a deficit, or breakeven?

In the current fiscal year, do you expect a surplus, a deficit, or breakeven?

Primary reasons for considering this collaboration (select all that apply)

If at all, how has this organization been impacted by shifts in the funding landscape/operating environment?

Do you receive, or have you received in the last three year, support from:

Details of open grants with NRF participating funders (please list funder, type of funding, and amount for all open grants with funders listed above)

Current FY Operating Budget

Number of FTEs

Number of PTEs

Primary Regions Served (select all that apply)

Bucks CountyChester CountyDelaware CountyMontgomery CountyPhiladelphia CountySouthern New JerseyOther

If 'Other', please list additional regions served:

Primary Field of Work

Documentation

Please upload as much of the documentation requested below as possible for our due diligence process.

Note: While these materials are not mandatory at this point, they will be required to move to the next phase of the process.

Please be reminded that the cumulative total file size across all attachments submitted via this form cannot exceed 35MB. If it is necessary to include attachments above a cumulative total of 35MB, please email the attachments clearly labeled to grants@seachangecap.org.

File Upload

IRS Tax-Exempt Certification (if applicable)

Most Recent Financial Statements (audit preferred, unaudited or 990 are acceptable)

Current & Prior Fiscal Year Operating Budgets

Current Board Member List

Do you have additional documentation that you would like us to review?

Please upload up to three additional documents, if desired:

Contact and Organization Information (Organization Three)

Primary Contact Information

Last Name

First Name

Title

Phone Number

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

Is the primary contact also the Executive Director/CEO of Organization Three?

Executive Director

Last Name

First Name

Phone

Title

Executive Director's Professional Bio

Organization Information

Organization

Website

Street Address

Town/City

State

Zipcode

EIN

No hyphens ("-")

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

Financial Information (Organization Three)

What type of organization is it?

501(c)(3) - Registered501(c)(3) - Pending501(c)(4)B-CorpFiscally-sponsored entityFoundationCollaborative/AssociationOther

If 'Other', please explain:

If 'Fiscally-sponsored entity', please explain the relationship:

How would you describe the organization's financial health?

In the most recent fiscal year, did the organization show a surplus, a deficit, or breakeven?

In the current fiscal year, do you expect a surplus, a deficit, or breakeven?

Primary reasons for considering this collaboration (select all that apply)

If at all, how has this organization been impacted by shifts in the funding landscape/operating environment?

Do you receive, or have you received in the last three year, support from:

Details of open grants with NRF participating funders (please list funder, type of funding, and amount for all open grants with funders listed above)

Current FY Operating Budget

Number of FTEs

Number of PTEs

Primary Regions Served (select all that apply)

Bucks CountyChester CountyDelaware CountyMontgomery CountyPhiladelphia CountySouthern New JerseyOther

If 'Other', please list additional regions served:

Primary Field of Work

Documentation

Please upload documentation for Organization Three using the form available here.

Please check this box below to confirm that you have submitted all of the requested documentation available via the form above.

Organization Three Documentation Submitted

Contact and Organization Information (Organization Four)

Primary Contact Information

Last Name

First Name

Title

Phone Number

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

Is the primary contact also the Executive Director/CEO of Organization Four?

Executive Director

Last Name

First Name

Phone

Title

Executive Director's Professional Bio

Organization Information

Organization

Website

Street Address

Town/City

State

Zipcode

EIN

No hyphens ("-")

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

Financial Information (Organization Four)

What type of organization is it?

501(c)(3) - Registered501(c)(3) - Pending501(c)(4)B-CorpFiscally-sponsored entityFoundationCollaborative/AssociationOther

If 'Other', please explain:

If 'Fiscally-sponsored entity', please explain the relationship:

How would you describe the organization's financial health?

In the most recent fiscal year, did the organization show a surplus, a deficit, or breakeven?

In the current fiscal year, do you expect a surplus, a deficit, or breakeven?

Primary reasons for considering this collaboration (select all that apply)

If at all, how has this organization been impacted by shifts in the funding landscape/operating environment?

Do you receive, or have you received in the last three year, support from:

Details of open grants with NRF participating funders (please list funder, type of funding, and amount for all open grants with funders listed above)

Current FY Operating Budget

Number of FTEs

Number of PTEs

Primary Regions Served (select all that apply)

Bucks CountyChester CountyDelaware CountyMontgomery CountyPhiladelphia CountySouthern New JerseyOther

If 'Other', please list additional regions served:

Primary Field of Work

Documentation

Please upload documentation for Organization Four using the form available here.

Please check this box below to confirm that you have submitted all of the requested documentation available via the form above.

Organization Four Documentation Submitted

Exploration: Collaboration Background and Status

What best describes the type of collaboration you are proposing?

How urgent are these collaboration discussions?

Briefly describe the working relationship between the collaborating organizations.

What prompted you to consider a collaboration at this time? Have you previously discussed potential collaborations with this or other partners?

Who is currently involved in these discussions? Briefly describe any confidentiality concerns regarding these deliberations.

Exploration: Benefits & Risks

What are the principal benefits of the collaboration? Please describe the potential operational, programmatic, and financial impacts, as applicable.

What can you accomplish together that you cannot do separately?

How do you expect this potential collaboration to affect other service providers in the space and the broader ecosystem?

Please identify any potential challenges this collaboration presents. Select up to 5.

Accepting changeAchieving a shared visionClarifying partner rolesConcerns about risk/managementCoordinating/merging/integrating operationsCoordinating/integrating programs and servicesCosts of collaborationCreating a shared cultureDefining and measuring successInadequate staff time available for leading and/or managing collaborationInternal/external communication and marketing/brandingRetaining staff or staff departuresNecessary external approvals

What essential questions must be answered before your organizations can make a decision to implement a formal collaboration?

Exploration: Technical Assistance Requested

Describe the technical assistance (TA) support that is being requested from the Fund.

To conduct financial due diligenceTo draft the governing agreement or provide other legal adviceTo facilitate negotiations that might support the formation of the collaborationTo advise on human resources, benefits, or compensationTo determine the value of assets (intellectual or physical property)To assess fundraising implications of potential collaborationTo assess branding implications of potential collaborationOther

What is the anticipated total cost of completing the exploration?

Identify the name, cost, and timing for each technical assistance provider.

What other sources of support have/will you obtain for this collaboration, including in-kind support?

TA Provider Proposals

Please upload TA provider proposal(s) for the exploratory costs outlined above using the upload form available here.

Implementation Plan

What best describes the type of collaboration you are proposing?

How urgent are these collaboration discussions?

Provide an overview of the proposed implementation plan, detailing the scope of the collaboration, expected timing, and the organizational components to be integrated. Your response should include consideration of governance, staffing, programmatic activities, financial management, and operational functions as applicable.

What prompted your organizations to consider a collaboration at this time?

What can you accomplish together that you cannot do separately?

How does the collaboration meaningfully change the ways the organizations involved will operate?

How do you expect this potential collaboration to affect other service providers in the space and the broader ecosystem?

Who is currently involved in these discussions? Briefly describe any confidentiality concerns regarding the collaboration.

What impact might this collaboration have on the individuals/communities currently served by the organization?

List three to five expected outcomes and associated metrics you hope to achieve from this collaboration over the next two years.

How did the organizations determine this collaboration format?

Describe the potential risks and possible mitigants produced by this collaboration.

Describe the integration challenges this collaboration has experienced to date.

Please identify any potential challenges this collaboration presents moving forward. Select up to 5.

Implementation: Technical Assistance Requested

Describe the technical assistance (TA) support and other one-time costs associated with this collaboration that is being requested from the Fund.

To conduct financial due diligenceTo draft the governing agreement or provide other legal adviceTo facilitate negotiations to support the formation of the collaborationTo advise on human resources, benefits, or compensationTo determine the value of assets (intellectual or physical property)To assess fundraising implications of collaborationTo assess branding implications of collaboration & marketing/communications supportTo integrate technological or other systemsOther

What is the anticipated total cost of completing the implementation?

Provide an itemized budget detailing the full cost of the implementation. Budget must include name, function, timeline, and associated cost for each TA provider or vendor; amount requested from the Fund; and other sources of secured or pending support (including in-kind).

TA Provider Proposals

Please upload TA provider proposal(s) for the implementation costs outlined above using the upload form available here.

Thanks for your interest

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?

Note: If you experience an error submitting the application, it may be due to to all of the attachments uploaded exceeding a collective maximum of 30MB or from changing the file name of any attachment between upload and form submission.

If you receive a '413 Error', please go 'Back', remove attachments, and email them to grants@seachangecap.org.

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