Fiscal sponsorship

Apply for fiscal sponsorship

Tell us about your project. A member of our team will review your application and follow up. Submitting this form does not create a sponsorship; a signed agreement does.

A. Applicant

Full legal name

Title or role in the project

Phone

Mailing address

Street

City

State

ZIP

Organization applying through, if any (for example, a private foundation)

Organization name

EIN

Entity type

B. Project

Proposed project name

Mission statement

0 / 500 words

Programs to include in the sponsored project

0 / 500 words

Programs that will stay outside the project, if any

0 / 500 words

Population served

Geographic area

Place or region

Will any activity take place outside the U.S.?

YesNo

Website or domain

C. How help is given

Will the project give money or goods to individuals?

YesNo

Is any part of the project religious in nature?

YesNo

D. Funding

Expected funding sources

Specific funders you plan to apply to, with deadlines

Funder name

Amount

Deadline

Estimated annual budget for the project

Last 12 months, total income

Last 12 months, total expenses

Those figures are

E. People and relationships

Project leaders and proposed advisers

Name

Role

Are any proposed advisers related to each other, or to donors or funders of the project?

YesNo

Does anyone involved expect to be paid, reimbursed, or contracted from project funds?

YesNo

F. Other

Political or lobbying activity planned?

Will the project create intellectual property (curricula, books, software)?

YesNo

How did you hear about Paramount Impact?

G. Acknowledgment

I understand that Paramount Impact will own and have final say over all funds received for the project, and that project funds cannot be paid to project leaders, advisers or their family members. I understand Paramount Impact charges a $500 start fee plus a percentage of funds received, per the posted fee schedule.

Typed full name as signature

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