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About
Founder
Leadership
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Grants Awarded
FAQs
FAQs
Resources
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CCEJ Anti-Racist Resource Guide
JSGF LOGO
Home
About
Founder
Leadership
Contact
Grantmaking
Status Report
Grants Awarded
FAQs
FAQs
Resources
Our Partners
CCEJ Anti-Racist Resource Guide
JSGF LOGO
About
LOI FORM
ORGANIZATION & CONTACT INFORMATION
Organization Name
Name on 501(c)(3)
Date on 501(c)(3)
MM
DD
YYYY
Address on 501(c)(3)
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Name
First Name
Last Name
Title
Email
Telephone
(###)
###
####
DEMOGRAPHIC CLIENT DATA
Tax I.D. Number
Year Founded
Geographic Areas Served
Population Segment Served
Basic Needs
Child Care
Civic/Community
Education/Training/Mentoring
Healthcare
Other
Number of Clients Served Last Year
Percent of Clients Served From Long Beach
Organization Mission
PROJECT DATA
Name of Program to be Considered
Type of Program
Existing
New
What Type of Funding are you Requesting
General Operating
Program Specific
Scholarships
Equipment
Total Amount Agency Budget
$
Total Program Budget
$
Amount to be requested from Josephine S. Gumbiner Foundation
$
Balance of budget to be provided or requested from
How will you measure success
Anticipated program start date
MM
DD
YYYY
Today's Date
MM
DD
YYYY
Project time estimate from start to completion (if applicable)
Thank you!
