Organization Information
Name of Organization *
 
Year Organization was Founded *
 
Mailing Address (include city, zip)
 
Country *
 
Phone Number *
 
Website
 
Primary Contact (preferably Executive Director) *
 
Primary Contact Email Address *
 
Primary Contact Phone Number *
 
Name of Parent Organization (if applicable)
 
Is your organization a registered 501(c)(3) or legal international equivalent (Amutah, etc)? *
 Yes
 No
Provide your organization's מספר תיק ניכויים, TIN/EIN, or legal international equivalent. *
 
Provide your organization's 2017 operating budget. *
 
Total Amount of Support Requested: *
 
Narrative
What type of grant are you applying for? *
 Organizational Support
 Project/Program Support
Please describe how the grant and matching funds will be used, while addressing the following questions in your answer: How will the grant improve the scope and impact of your work? Will the grant be used towards an existing or new program?  If the program is new, is it a one-time event or is it potentially on-going? If the program exists, how long has it been running and how has it helped strengthen formal and informal STEM education in Israel for grades K-12? Describe the expected results from your organization or program.  *
 
 
 
 
 
 
 
How does your organization/project strengthen formal and informal STEM education in Israel's social and geographic periphery for grades K-12? *
 
 
 
 
 
 
 
Does your organization/project include professionals in STEM fields as founders or in positions of leadership? Please describe. *
 
 
 
 
 
 
 
How does your organization/project engage collaboratively with other organizations that are also working to strengthen formal and informal STEM education in Israel's social and geographic periphery for grades K-12? *
 
 
 
 
 
 
 
How did you learn about this Matching Grant Initiative?
 Jewish Funders Network
 Donor
 Other
Donor Information
How many donors are funding your organization or project/program for the purpose of this matching grant? *
 
Name of Donor 1 *
 
Name of Foundation (if applicable)
 
Donor/Foundation 1 Contact Email Address *
 
Donor/Foundation 1 Phone Number *
 
Donor/Foundation Website
 
Donor/Foundation Mailing Address (including City, State, Zip & Country) *
 
Total Amount of Gift from Donor/Foundation 1 *
 
Is gift 1 new or increased? *
 New
 Increased
If gift 1 is increased, when was the most previous gift given and how much was it? *
 
Name of Donor 2 *
 
Name of Foundation (if applicable)
 
Donor/Foundation 2 Contact Email Address *
 
Donor/Foundation 2 Phone Number *
 
Donor/Foundation Website
 
Donor/Foundation Mailing Address (including City, State, Zip & Country) *
 
Total Amount of Gift from Donor/Foundation 2 *
 
Is gift 2 new or increased? *
 New
 Increased
If gift 2 is increased, when was the most previous gift given and how much was it? *
 
Name of Donor 3 *
 
Name of Foundation (if applicable)
 
Donor/Foundation 3 Contact Email Address *
 
Donor/Foundation 3 Phone Number *
 
Donor/Foundation Website
 
Donor/Foundation Mailing Address (including City, State, Zip & Country) *
 
Total Amount of Gift from Donor/Foundation 3 *
 
Is gift 3 new or increased? *
 New
 Increased
If gift 3 is increased, when was the most previous gift given and how much was it? *
 
Name of Donor 4 *
 
Name of Foundation (if applicable)
 
Donor/Foundation 4 Contact Email Address *
 
Donor/Foundation 4 Phone Number *
 
Donor/Foundation Website
 
Donor/Foundation Mailing Address (including City, State, Zip & Country) *
 
Total Amount of Gift from Donor/Foundation 4 *
 
Is gift 4 new or increased? *
 New
 Increased
If gift 4 is increased, when was the most previous gift given and how much was it? *
 
Supplemental Materials (PDF Only) Please upload all materials in English and label each PDF using the following format: [Organization Name]-[Name of Attachment].
Proof of organization’s 501(c)(3) classification, Nihul Takin, or legal equivalent in your home country. *
 
Organization’s mission statement *
 
Bios of key staff members at organization (including Executive Director, CFO or person responsible for accounting, and Project Manager if applicable) *
 
List of organization’s Board Members with bios and/or affiliations *
 
Organization’s Budget vs. Actuals for the last 2 years of operations (FY 2015, FY 2016) *
 
Organization’s current YTD budget *
 
Project Budget: REQUIRED FOR PROJECT SUPPORT APPLICATIONS
 
NOTE: Once your organization’s application is finalized and submitted, JFN will contact the donor to discuss the details of his/her gift. Should you need to submit additional donor information after your application is completed, contact Melissa Rosen at melissa@jfunders.org.