Application Request Form                                                                                          

Please use this request form only if you have not yet been invited to apply for a grant by a trustee of the Ralph & Eileen Swett Foundation.  A trustee will review the information you provide within the next few weeks.  If the trustee determines that the purpose of your grant may potentially fulfill the mission of the Foundation in an exemplary way, you may be asked to submit the supplementary materials for a formal application.  We acknowledge that completing this form requires a certain amount of effort and we cannot guarantee that by doing so you will be invited to apply.  However, we are depending upon this method to find many of our future grant recipients.  We also expect this information to help us develop areas of interest for future recurrent funding.  To be sure that it is in your best interests to complete this information, please carefully review our guidelines and criteria for grants.

You may submit this information on-line or print and mail to: The Ralph & Eileen Swett Foundation, 1114 Lost Creek Blvd., Suite 200, Austin, TX 78746.  If you feel the space provided for any questions is not sufficient, you may send your answer by mail.  Thank you for considering the Ralph & Eileen Swett Foundation.  We wish you much success in your endeavors.

                                   APPLICATION REQUEST FORM

Organization Name:
Grant Amount Requested:
Date Needed:

1.  DESCRIPTION OF ORGANIZATION, PURPOSE OF GRANT, AND
     REASON IT WILL MAKE A DIFFERENCE

1.1  Contact Information
Address 1:
Address 2:
City State Zip
Top Organization Leader:
Direct Phone:
Contact Person:
Direct Phone:
Email Address:
Web Address:
1.2  Describe the Organization and its Purpose
1.3   Does your organization have a 501c3 designation from the IRS?
1.4  Description of the purpose and specific goals of this grant including the nature and
       extent of the difference it will make in the lives of these individuals:
1.5  Clearly identify and quantify the individuals to benefit (include the geographic
       area).
1.6  Detail the objective measurements and criteria that will be used to determine the
       success of the grant including any quality assurance methods to be utilized.
1.7  Estimated duration of requested grant:
Beginning Month Year
Ending Month Year

2.  FINANCIAL ANALYSIS

2.1   Organization and Project Budget Information:
Total Annual Organizational Budget:
Total Project Budget
2.2  Summarize why existing resources are not sufficient for providing for this purpose:
2.3  Has your organization ever utilized challenge or matching grants?  Explain why
       or why not this type of grant might be applicable in this circumstance.
2.4  If successful, do you expect this project to continue?  Will it potentially increase
       the total annual organizational budget in the future?   If so, how will this increase
       be met?
2.5  Using the figures from your most recent 990, list the dollar amounts spent on:
Administration Fund Raising Programs/Services

3.  PAST EXPERIENCE AND SUCCESS

3.1  Summarize the organization's past experience and success in relation to this grant.
       Include objective data if available.
3.2  If this grant represents a new avenue for the organization, describe the model which
       it is based and the necessary components for successful implementation that are
       present in the organization.

4.  OTHER AGENCIES

4.1  Describe other agencies that provide similar or related services in the same
       geographic area.  Summarize any efforts to coordinate with these agencies.
4.2  Describe what makes this organization unique.

 

                                                          

Thank you for completing this request form.  We will send you a confirmation that your information has been received.  We will contact you if your proposal has been selected for formal application to request supplementary materials.  Again, thank you for considering the Ralph & Eileen Swett Foundation.