The Christensen Fund

Pre-Proposal for Organizations Registered Outside the United States

 

Please complete all of the following questions. We ask that you do not skip any questions as these are all important in order for our program team to review and decide on your request.

 

What geographic area are you applying under? Please mark up one area only.

  

 

Proposed Grantee Organization

1.      Name of Organization to Receive the Grant 

2.      Legal Name (The name under you registered) 

3.      Other names by which the organization is known

4.      Address of Organization's Main Office 

5.      City and State or Province (No Abbreviation, please) 

6.      Postal Code (If applicable) and Country   

7.      Main Organization's Phone 

8.      Main Organization’s Fax

9.      Main Organization's E-mail Address 

10.  Website Address (If available)

11.  Organizational Background - Please provide information on your mission, primary activities, governance and typical sources of financial support and/or major donors. (200words or less) 

12.  Organization's Fiscal Year End (Month / Day) 

13.  Total Annual Organizational Budget (For the current year, in US dollars) 

14.  What type of organization are you (government, educational, NGO, community-based, association, etc.)? 

 

Applicant Contact Information

1.     Contact Prefix (Dr., Mr., Ms., etc.) 

2.     First Name and Last Name

3.     Position Title 

4.     Your Office Address or Post Office Box 

5.     City and State or Province (No Abbreviation, please)

6.     Postal Code (If applicable) and Country 

7.     Your Phone (Include Country Code, if applicable) Phone Extension (If applicable)   

8.      Your Fax 

9.     Your E-mail 

10. Preferred Means of Contact?  (Email, Telephone, Fax, Post)

 

Proposed Project

1.      Today's Date 

2.      Country or Region That Project Would Benefit 

3.      Amount Requested from the Christensen Fund in US Dollars (Current Maximum: $200,000; Bay Area $40,000) 

4.      Total Project Budget (US Dollar Amount) 

5.      Length of Project in Months (Current Maximum: 24 months)   Please enter the term in whole months; example: enter 12 for a year-long project.

6.      Proposed Project Start Date - What date would you require to receive this grant? 

7.      Proposed Project Title -What is your project or program called? 

8.      Tell us about the project, Purpose and Goals, and Why the Project Is Important (up to 400 words) 

9.  Grant Activity- What activities would you like us to fund? (300 words or less) 

10.  Connection to the Christensen Fund's Grantmaking Focus -Please describe how this project strengthens bio-cultural diversity and healthy relationships between land and people, culture and nature. (See grants list on the Grants Overview section of our website.) 

11.  Other Funding Sources towards this Project - Please indicate whether none, pending or awarded, and amount. 

12.  Main Project Personnel and Relevant Experience (100words or less) 

13.  Additional Information (100 words or less) 

14. How did you find out about the Fund?   Please let us know if by mailing, online search, foundation directory, or if referred, by whom, etc. 

 

 

 

Last Revision Date: 03/14/08