COVID-19 Disaster Response Grant Application

Save my progress and resume later | Resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

For consideration of the COVID-19 Disaster Response grant, please complete the application below.

Primary Contact Information for this grant application

First Name

Last Name

Title

Work Email

Work Phone Number

Cell Phone Number

Opportunity Contact Role

Organization Information requesting the grant

Organization represents a:

Due to IRS regulations, your application requires a "fiscal sponsor" partnership. Check here to enter your organization's fiscal sponsor info below.

Fiscal sponsor secured and entered below

Federal TX ID Number (EIN):

What sector does organization serve?

Organization Name:

Street Address

City

State/Province

Postal Code

County

Organization Phone

Website

Generic Email Address for Organization

Project Information:

Project Title:

Project Summary:

Begin with "to provide" or "to create" or "to support" or something similar.

Project Description and Expected Outcomes:

Indicate the projected number to be served by your project:

Agencies

No commas or decimals

Businesses

No commas or decimals

Communities

No commas or decimals

People

No commas or decimals

Organizational Background:

5,000 characters max

Area Served:

Use "Ctrl" to select multiple Counties.

Project Start Date

Project End Date

Amount: $

Minimum $500; No commas or decimals

Total Project Budget $

No commas or decimals

Other sources of funding:

Indepth Information-Project Narrative

Project Implementation: How will your organization implement this work?

Need Addressed: What is the critical community need you are addressing? How has COVID-19 impacted your work and those you serve? Describe the compelling reason for engaging in the proposed work.

How will SWIF funds be used?

Partners: Who are the partners involved in the project and what are the roles?

Anticipated Impact: What will be supported as a result of this project and how will you define success?

Miscellaneous: Include any other information you would like to provide. (optional)

Documentation & Signature

Southwest Initiative Foundation would like to review your project budget. Please download the Excel template below, complete and upload the finished document. Other documents can be uploaded in the appropriate places.

Project Budget and Narrative (Template attached to email notification or Download this Excel Template, complete form and re-upload with project data):

Miscellaneous Documents:

Optional

After clicking submit, complete the signature page and then confirm the signature using the link in the email you will receive after signing. Grant is not signed until you confirm the signature from your email.

Save my progress and resume later | Resume a previously saved form

Contact Information