SOCIAL VENTURE PARTNERS ARIZONA

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2013 Social Enterprise Investment Application Thank you for taking the time to complete this proposal. Please submit applications by 5:00pm on September 10, 2013, via email, with the application and attachments in one PDF formatted document. Application should not exceed 7 pages, sans attachments. (File should be named the same as your organization’s name followed by SocEnt Application 2013, i.e. Wonderful Nonprofit SocEnt Application 2013), to [email protected]. You will be notified in September about whether your organization has been chosen as a finalist. Please Note: Prior to submitting this proposal, one person from your organization’s staff or board must attend an informational session with SVP. RSVP to attend August 14, 2013, from 9-10am or RSVP to attend August 20, 2013, from 12-1pm. Feel free to erase our question explanations so you have more room to write. If you have any questions, contact Jennie Arbogash at 303.840.0165 or [email protected].

A. Executive Summary – Organizational Overview & Cover Sheet Date Proposal Completed Organization Name EIN Contact Person Email Phone Organization Physical Address Organization Mailing Address Year Organization Founded Geographic Area Served Focus Area(s) such as Aging & Seniors, Environment, Youth, etc Seed Funding Requested up to $10,000

B. About Your Organization Mission & History 150 words maximum.

Major Programs/Services Please list by bullets – do not describe in detail.

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Population Served Include most recent annual tally of numbers served, ages, ethnic &/or economic breakdown.

Evaluation Describe the organization’s overall approach to evaluation.

Impact Describe how the organization measures impact.

My organization has submitted a 990 form to the IRS for the past three fiscal years?  Yes  No If no, please explain why your organization has not submitted a 990:

Overall Paid Staff Full-Time-Equivalent

Volunteer Full-Time-Equivalent

Describe Board Involvement How often do they meet? Does each member of your board contribute financially and through volunteer support? Do they serve on committees or volunteer outside of the Board role?

Provide a one-sentence description of your Executive Director’s philosophy of leadership.

Provide a one-sentence description of your board chair’s philosophy of leadership.

C. About Your Social Enterprise Please explain your social enterprise concept or venture. Use no more than one page. Outline what steps have been taken to develop or launch the social enterprise venture thus far. Example: We talked with three nonprofits providing related services to see if we could collaborate, discussed with the City of Boulder, conducted research, completed a business plan….

Highlight any research that has been conducted regarding the social enterprise. Example: We conducted focus groups with five target audiences, identified competitors, charted fee comparisons for similar for-profit businesses in Colorado, and ….

Please detail key milestones you hope to reach with SVP support over one year.

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How you will know – and measure – if the partnership with SVP Boulder County is a success, and your organizational objectives/program objectives are met.

D. SVP Pro Bono Consulting & Funding Request Requested Seed Funding Amount

Proposed Use of Funding for the Social Enterprise

Please detail two to four specific projects for which you’d like SVP pro bono consulting during the one-year award period. How can SVP assist in developing, launching, and/or growing your social enterprise? This is one of the most important questions in this form – please be specific.

E. Attachments  Please attach up to 10 pages worth of research and planning documents related to the social enterprise.  Attach a short professional bio for each staff member, board member, or volunteer leading your organization’s social enterprise effort. Please include up to five.  Attach an organizational chart including staff names.  Attach a list of Board Members. Include position(s) on the board (officer and committee positions), occupation and name of employer and/or affiliation(s), city or county of residence, and term end date for each board member.  Attach proof of IRS federal tax-exempt status, also called a Letter of Determination, dated within the last five years.  Attach anti-discrimination or inclusivity statement adopted by the board of directors.  Attach all of the following financial documents:  organizational budget for the year for which funds are requested;  social enterprise budget;  most recent financial year-end balance sheet (ie. Dec, 2013); Statements should include budget vs. actual.  and, most recent fiscal year-end income statement. Statements should include budget vs. actual.

________________________________________ Signature of Executive Director/CEO

___________________________________________ Signature of Board Chair/President

--------------------------------------------------------------------------------------------------------------------------------------Thank you for taking the time to complete this proposal. Please submit applications by 5:00pm on September 10, 2013, via email, with the application and attachments in one PDF formatted document. (File should be named the same as your organization’s name followed by SocEnt Application 2013, i.e. Wonderful Nonprofit SocEnt Application 2013), to [email protected]. You will be notified in September about whether your organization has been chosen as a finalist. SVP Boulder County Pilot Social Enterprise Investment Application

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