The Dyson Foundation, Millbrook, NY: Online Letter of Inquiry

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Online Letter of Inquiry

Required field indicated by *

Organization Information

Name of Organization:*

Address 1:*

Address 2:

Legal Name (if different):

City:*

State:*

Zip Code:*

Phone Number (ex: 555-123-1234):*

Organizational E-mail:*

Website:

EIN#:*

For organizations based in New York State only: In which legislative districts is your organization based? You can look this information up at: www.vote-smart.org

U.S. Congressional District:*

NYS Senate District:*

NYS Assembly District:*

Do any of your board members receive financial compensation from the organization?*

If yes, please describe:

Type of Organization (check only one):*

Arts, Culture, & HumanitiesCivic / Community BenefitEducation (including Libraries)EnvironmentFoundation / GrantmakerGovernmental BodyHealth (including Mental Health)Human ServicesPublic Policy, Advocacy, & ResearchReligion RelatedOther, please specify

Brief description of the organization's mission statement:*

Number of Full-Time Staff:*

Number of Part-Time Staff:*

Total Organizational Budget (current year):*

Organization's Fiscal Year (from/to):*

Annual Fundraising Costs:*

Give a brief summary of the organization's history, programs and purpose:*

Contact Information

Chief Board Officer:*

Title:

E-Mail Address:

Address (if different from Org.):

Phone Number (if different from Org.):

Chief Staff Officer:*

Title:

E-Mail Address:

Address (if different Org.):

Phone Number (if different from Org.):

Request Contact:*

Title:*

E-Mail Address:*

Address (if different from Org.):

Phone Number (if different from Org.):

Project Information

Type of Support Requested:*

Will the funds requested be used as a challenge or matching grant?*

Primary Program Area (check only one):*

Arts, Culture & HumanitiesEconomic DevelopmentEducationEnvironmentalHealth Care (including Mental Health)Human ServicesManagement / Technical AssistancePhilanthropy, Volunteerism, & GrantmakingPublic PolicyRecreation & SportsReligion RelatedSupport of the Nonprofit Sector

Primary Geographic Area(s) project will serve (check all that apply):*

Columbia CountyDutchess CountyGreene CountyOrange CountyPutnam CountyUlster CountyMid-Hudson Valley (regional)Other Counties in New York StateNational

Population Served (check all that apply):*

Economically DisadvantagedEducationally DisadvantagedEthnic/Racial MinoritiesGay/Lesbian/Bisexual/TransgenderGeneral PopulationHomelessImmigrants/Newcomers/RefugeesMentally/Emotionally DisabledMigrant WorkersPeople with HIV/AIDSPhysically DisabledSubstance Abusers

Age Group Served (check all that apply):*

Babies/Toddlers (under age 5)Children (5-13 years)Adolescents (14-18 years)Young Adults (19-24 years)AdultsSeniorsAll Ages

COMPLETE THE FOLLOWING SECTION ONLY IF APPLYING FOR FUNDING FOR A SPECIFIC PROJECT OR ACTIVITY (Do NOT complete this section if applying for general operating support.)

Type of Support Requested (check only one):

Building/renovationConference/SeminarEndowmentEquipment (excluding technology)Land AcquisitionManagement Technical AssistanceProgramScholarshipsTechnology Systems & Equipment

Project Start Date (mm/dd/yy):

Total Amount Requested:

Total Project Budget:

Requested from Dyson Foundation:

Total Project Budget Year 1

Requested from Dyson Foundation Year 1:

Total Project Budget Year 2

Requested from Dyson Foundation Year 2:

Total Project Budget Year 3

Requested from Dyson Foundation Year 3:

Name of Project

Brief description of proposed project and need(s) it will address:

Expected results or outcomes:

COMPLETE THIS SECTION ONLY IF APPLYING FOR GENERAL OPERATING SUPPORT (Do NOT complete this section if applying for project support)

Total Amount Requested:

Projected Organizational Budget:

Requested from Dyson Foundation:

Projected Organizational Budget Year 1:

Requested from Dyson Foundation Year 1:

Projected Organizational Budget Year 2:

Requested from Dyson Foundation Year 2:

Projected Organizational Budget Year 3:

Requested from Dyson Foundation Year 3:

Submit

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Before submitting a letter of inquiry, this quick questionnaire will let you know if you may be eligible.

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Online Letter of Inquiry

Organization Information

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Grantmaking

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Nonprofit Resources
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Grantmaking FAQ