Online Proposal

Important Notes
* Please print for your records.
* The online proposal cover sheet is for database purposes only.
* Please submit the appropriate materials listed at the end of this form.
* Answer each of the questions in the space provided.
* Grant proposals will not be considered if the questions and information requested aren't completed.
* Please do not reference other material.

Instructions
* Applicant must fill out and submit the form in one sitting; therefore please review the form before it's filled out.
* Please click on SUBMIT at the bottom of the page after completing the online cover sheet.
* The online proposal cover sheet cannot be saved.
General Information  
Select One

Portland Metro (Multnomah County)
SW Washington
Statewide

Funding Cycle
Organization
(limit to 15 words)
Address
City
State
County
Zip Code
Website
Contact Person
Contact Phone
(exp. 503-777-2193)
Contact Email Address
Executive Director
Executive Director Phone
(exp. 503-777-2193)
Executive Director Email
Have you applied to the Black United Fund of Oregon for funding in the last five years? Yes
No
(If No, continue to next section)  
If yes, what year and cycle?
(exp. 99 Fall, 00 Spring)
Amount of Grant(s) Awarded $
(exp. 2000, 4000)
Have you submitted a project evaluation form for the last grant received? N/A
Yes
No
Note: It is the policy of the Black United Fund that organizations with overdue evaluations are not eligible for funding.
Organization Information  
Employee ID Number (EIN)
Organization Mission Statement
(limit to 100 words)
Brief Description of Organization
(limit to 100 words)
Based on your most recently completed fiscal year, state the percentage of total revenue applied to:
Programs & Services, Administration & Fundraising %
(exp. Admin 10, Fundraising 10, Programs & Services 80) 		Programs & Services %    Administration %
   Fundraising %
If more than 25% of your organization's budget goes toward administration and fundraising, please explain.
(limit to 150 words)
Is your organization registered with the Office of the Attorney General in accordance with relevant provisions of ORS 128.610 to 128.995? Yes
No
Does your organization receive funding from United Way? Yes
No
If yes, please explain below how the B.U.F. grant will be applied outside of the scope of your organization's United Way funding.
(limit to 150 words)
Project Information  
Programmatic area to which you are applying
Amount Requested
(Use 5000 format numbers only, please)
(limit to 10 characters)
Total project cost
(Use 5000 format numbers only, please)
(limit to 10 characters)
Project start date  Day Year
Project end date Month Day Year
Brief Description of Project
(limit to 150 words)
Specific Use of the Black United Fund's Grant
(limit to 300 words)
What percentage will be applied to:

Programs & Services: %
Administrative & Fundraising: %
County(ies) served:
(limit to 20 words)
Neighborhood(s) served by project:
(limit to 20 words)
Client group to be served by project this year
(limit to 50 words)

Number of clients served by project this year
(use 5000 format numbers only, please)
(limit to 10 characters)
Number of clients served by project last year
(use 5000 format numbers only, please)
(limit to 10 characters)
CURRENT ORGANIZATIONAL STATISTICS (Please provide as much tracking information as you can)
Income  
Do not track
Less than 50% of area median income* %
Between 50% - 80% of area median income* %
Between 80% - 100% of area median income* %
More than 100% of area median income* %
Total (try to ensure that total equals 100%) %
        *See City of Portland Bureau of Housing and Community Development Median Income Chart on the Grant Seekers Page. If applying from a different city please base your information on the Median Family Income in your area.
 
Ethnicity  
Do not track
American-Indian or Alaskan Native %
Asian or Pacific Islander %
Hispanic %
White, not of Hispanic origin %
Black, not of Hispanic origin %
Other (specify) : %
Total (try to ensure that total equals 100%) %
 
Gender  
Do not track
Female population> %
Male population %
Total (try to ensure that total equals 100%) %
 
List all income (specific amount) and sources committed to this project
List pending funding sources applied to the project and amount of request
Please detail your organization's efforts to move toward self-sufficiency and sustainability
(limit to 300 words)

Please check the application materials you will submit with your full application (see below):

Please list the item numbers in the top right corner of the corresponding document
1. Proposal Narrative (See Guidelines) Yes No
2. Organizational Budget immediately preceding fiscal year's financial statement Yes No
3. Project Budget Yes No
4. Organizational Diversity Chart Yes No
5. Most recent year's audit, if budget is over $100,000 Yes No
6. Organization's financial statements (IRS form 990) for last completed fiscal year Yes No
7. Board of Directors Roster Yes No
8. IRS 501©3 tax-exempt notification letter Yes No
9. Copy of CT12 (If applicable to your organization) Yes No
10. Policy of non-discrimination Yes No
11. Anti-terrorism policy. Yes No

Double check your responses and then click the "Submit" button to file your cover sheet with BUFOR.

Proposal Application Packet

Please send the complete proposal application packet to the Black United Fund's office after submitting your online cover sheet. Incomplete proposal application packets are not eligible for consideration.

Grant Allocations Committee
Black United Fund of Oregon, Inc.
2828 N.E. Alberta St.
Portland, OR 97211

Please see application guidelines for the appropriate number of copies.

Complete application packets contain the SUPPORT MATERIALS listed below.

If you have any questions, please contact the Black United Fund of Oregon's office at 503-282-7973.

THREE Copies of the Following (please no staples or binding):

  • Proposal cover sheet (Submitted online only, however provide copies of printout of submitted information)
  • Proposal Narrative (see guidelines)
  • Organizational Budget (included in application online)
  • Project Budget (included in application online)
  • Organizational Diversity Chart (included in application online)
  • Organization's most recent audited report, if budget over $100,000
  • Organization's financial statements (IRS form 990) for last completed fiscal year
  • Board of Directors Roster (included in application online)

ONE copy of the following:

  • Copy of the organization's IRS 501© 3 Letter (see guidelines)
  • Organization’s CT-12 (If applicable to organization)
  • Copy of the organization's non-discriminatory policy (see guidelines)
  • Optional: materials demonstrating community support
 


 
© 2007, Black United Fund of Oregon
2828 NE Alberta · Portland, Oregon 97211 · 503-282-7973 · email bufor@bufor.org
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