Via email. Letters of Intent do not require signatures

2019 Letter of Intent
All Letters of Intent must be submitted via email. Letters of Intent do not require signatures.
Letters of Intent must be emailed to Ariella Davis at [e-mail] by 5:00 PM (local time) on the due date for your geographical area, posted on the website. Please call Ariella Davis for any questions at 212-991-9600 x 343.

Organization Information
Organization Name:
Mailing Address:			EIN, CCRA, Charity Comm. #:
City, State:			Phone #:
Zip Code:			Website:
Accreditor(s) if any:
Executive Director
Executive Director:
Phone number:			E-mail:
Primary Contact for Grant
Primary Contact:			Title:
Phone number:			E-mail:
Request Information
Project Name:
Grant Request Amount:

An HFC Grant would enable you to (check only one):
Start a new program Expand a current program Support an ongoing program

Brief Description of Project (please limit answers to 1 line)

Geographic service area:

Target population (including age range if applicable):

Project goals:

Project activities:

Have you received funding from HFC before (Yes/No; # of years): Outcome measurement strategy(s):

All Letters of Intent must be received by the deadline listed on page 2 or will be disqualified. If approved, you will be invited to submit a full proposal. Declined Letters of Intent will be acknowledged by email.

HFC Grant Making Region	2019 Letter of Intent Deadline
Canada (Metropolitan Toronto Area)	Monday, December 10, 2018 by 5:00 PM (local time)
Cayman Islands (Grand Cayman & Cayman Brac)	Wednesday, February 27, 2019 by 5:00 PM (local time)
New York (100 miles of Times Square, NY)	Monday, January 28, 2019 by 5:00 PM (local time)
Ireland (Greater Dublin Area)	Monday, July 8, 2019 by 5:00 PM (local time)
Chicago (100 miles from Chicago and within Twin Cities)	Monday, June 24, 2019 by 5:00 PM (local time)
Boston (Greater Boston Area)	Monday, February 25, 2019 by 5:00 PM (local time)
Atlanta (Greater Atlanta Region)	Wedesday, February 20, 2019 by 5:00 PM (local time)
Denver (Greater Denver Area)	Friday, January 4, 2019 by 5:00 PM (local time)
United Kingdom (London and Southeast)	Monday, February 4, 2019 by 5:00 PM (local time)
San Francisco (Alameda, Contra Costa, Marin, San Francisco, San Mateo counties)	Monday, February 25, 2019 by 5:00 PM (local time)
Asia (Hong Kong) Friday, August 30, 2019 by 5:00 PM (local time)

Please keep your responses brief, no more than one page total for all 3 sections.

Organization Introduction: Please provide a brief description of your organization’s mission and impact


Request: Please provide a brief description of the program or project you are requesting funds for (include name, geographic service area, target population (with age range for children and youth), goals, and project activities)


Expected Results: Describe the measureable outcomes and impact you expect to have achieved with HFC funds by the end of the funding period. Explain how you will document your outcomes and measure the effectiveness of your activities. Please limit it to a few sentences per outcome. Please also note if the model being used is evidence-based, evidence-informed, or a promising practice.

Project Budget
*Please use local currency and check your calculations. Budgets that do not subtotal or total correctly will be disqualified.

Project/Program Expenses		HFC Request		Other non-HFC Funds, if any		TOTAL
Personnel Services Costs: Name each staff position and % of time on project/program		A	+	B	=	C
Employee fringe benefits:
Total Personnel Expenses
Other Than Personnel Services (OTPS) Costs: Examples: Travel, supplies, printing, equipment
Total OTPS Expenses
Total Expenses (PS+OTPS)

Total annual operating budget for ORGANIZATION:

NOTE: Please check your math before submission. If you copy and paste the numbers directly from an Excel worksheet, the numbers will not add properly and your application will be disqualified.

Project/Program Revenues
Sources of Income for the Project or Program (specify) – NOT entire organization		Total
Public/Government
Private: Foundations
Private: Individuals
Private: Corporations
Other:
Total Revenues (must equal Total Expenses)

NOTE: Please mark sources of income as secured or pending. You can add or delete from the examples above.