2020 Policy Campaign Grant Application

Please Note: This grant application requests an application narrative and supporting documents.

Instructions:

✔️ Please visit our website to review funding guidelines, and resources that informed development of our Just For Kids Theory of Change and Frequently Asked Questions.

✔️ Please reference: Forward Through Ferguson: A Path Toward Racial Equity , the Changing States – Building Power on the Frontlines: Missouri Power Audit, and/or Segregation in St. Louis: Dismantling the Divide reports to make the case for your requested campaign. Further, Deaconess Foundation Strategic Direction and Priorities - 2019-2025 will give additional context for the Foundation’s current priorities.

✔️ Please answer all questions. Please do not include any materials other than those specifically requested. Please submit all application materials electronically via the online portal by October 25, 2019.

✔️ If you have any questions or would like assistance, please contact Michael Shultz at michaels@deaconess.org

POLICY CAMPAIGN APPLICATION FORMAT AND REQUIREMENTS

I. Please complete the Policy Campaign Grant Application Cover Page (below) and upload with the application narrative.

II. Application Narrative

In addition to the cover page, applicants should submit online a narrative of no more than four (4), double-spaced pages describing how your proposed policy campaign will support community campaigns, testing and incubating new policy ideas, generating evidence, and supporting interdisciplinary or cross-cutting work that informs and animates the public witness on behalf of children.

Grants may support:

Efforts which advance coordinated local or state public policy advocacy and organizing campaigns advancing child well-being to drive meaningful, systemic change;
Development of research and analysis, policy briefs, convenings and community campaigns that strengthen the field and related disciplines by improving practices, methods and standards, stimulating the demand for evidence and analysis and generating innovative approaches to solving policy challenges; and/or
Opportunistic or innovative initiatives that are well-positioned to advance policy change (ie. Ballot initiatives, collective impact efforts, etc.).

In the narrative, please describe your funding request by addressing each item below:

Alignment With the Pertinent Policy Reports

Identify which policy report(s) are informing the proposed campaign.
How will your campaign align with the priorities of the identified report(s)?

Please share:
Which recommendation(s) will your campaign work to advance? (List and describe as written in the identified report)
How will your campaign engage people impacted by the policy?
As appropriate, which body of influence listed in the identified report will the campaign directly engage?

Diversity, Equity, and Inclusion

Please provide the racial/ethnic and gender demographics of your organization’s staff and board.

How does your work serve and/or impact different racial/ethnic groups? Children/Youth?

How are the racial/ethnic groups most affected by your work represented in your organization’s work? Include any ways that your organization strives to incorporate the perspective of the communities you serve.

Alignment with the Just for Kids Theory of Change

Please describe the work you plan to do. How will this effort be implemented? Include a brief timeline and anticipated activities.
Please select from the checkboxes below to “map” how your proposed effort demonstrates alignment with the capacities influenced, arenas changed, and community results as presented in the Just for Kids Theory of Change. Please provide specific estimates for the number of policymakers, residents, youth, congregants, organizers, and other stakeholders to be engaged and your expected results..

Capacities Influenced: What community and system capacities must be activated for your work to build upon?
.

This work will equip child service providers, churches, or community organizers to focus on child advocacy.

This effort will equip and position youth and child advocates to move systems and/or strengthen networks and alliances for child well-being policy.

These efforts will increase citizen contact with policymakers.

Arenas Changed: What must be influenced to achieve your desired longer term results?
.

This proposed effort will influence the availability, affordability and accessibility of accredited child care, high-quality medical, mental, and oral health homes, or asset building supports and services.

This proposed effort will influence restorative justice practices in schools.

This proposed effort will influence equitable contacts and outcomes for youth in criminal justice and child welfare systems.

This proposed effort will influence family-supporting living wages.

This proposed effort will policymakers aware of innovative solutions.

Community Results: What community results and policy shifts do you expect to observe in alignment with Deaconess’ policy priorities?
.

This proposed effort will advance physical, social, emotional and cognitive kindergarten readiness.

This proposed effort will advance reconciliation of disparate infant mortality rates.

This proposed effort will advance youth receiving just treatment under the law.

This proposed effort will advance attainment of family economic stability within one generation.

This proposed effort will advance our community’s affirmation of children’s right to well-being and responsibility to create the conditions for each child to flourish.

What makes your organization or coalition uniquely well-positioned to do this work? Provide a few examples of recent projects and/or achievements that will help us understand your successes to date or readiness to take on this campaign.
Please describe your most valuable partnerships. Include how long you’ve worked with these allies or within these partnerships and coalitions, their contributions, roles, responsibilities specific to the proposed campaign.

Impact and Learning

Other than a funding investment, how can Deaconess advocate and/or engage to support this campaign?
How will you track and measure progress? (You will be asked to report on progress in a mid-year and final report.)

III. Financial and Supporting Documents

Please include the following supporting documents with your application as outlined below:

Download and complete the itemized, one-page project budget and include a budget narrative (one page or less).
Organization’s last completed fiscal year budget AND board-approved, current fiscal year budget (include actuals and note start and end dates for your fiscal year)
IRS Determination Letter from nonprofit applicant
If applying with a fiscal agent, please provide the IRS Determination Letter for the fiscal agent along with a signed agreement letter between the applicant and fiscal agent

For more information, please contact:

Kiesha Davis		Michael Shultz
Director, Partnership and Capacity Building	or	Program Assistant
kieshad@deaconess.org		michaels@deaconess.org
(314) 436-8001		(314) 436-8001

2019 Policy Campaign Grant Application Cover Page

Application Date *

Organizational Website *

EIN # *

Applicant Legal Name (as shown on IRS Letter of Determination) *

Doing Business As (if different from legal name)

Address *

City *

State *

Zip Code *

Telephone # *

Fax #

Executive Director (or Top Executive) *

Email Address *

Phone # *

Main Contact(s) for this Proposal *

Email Address *

Phone # *

Board Chair *

Email Address *

Phone # *

Type of Request *

New Campaign

Existing Campaign

Deaconess Policy Priority Advanced *

Early Childhood Education

Justice & Equity for Youth

Comprehensive Healthcare

Family Economic Mobility

Campaign Name/Title: *

Call(s) to Action, Recommendation(s) or Arena(s) for Change Advanced: *

Amount Requested (up to $100,000) *

Total Campaign Budget for this Period *

Current Annual Organizational Budget *

Proposal Summary: *

46/150 words

Geographic Area(s) and Population(s) Impacted: *

Organization's Mission/Vision Statement *

Application Narrative File Upload

Please upload the application narrative of no more than four (4), double-spaced pages. *

Financial and Supporting Documents File Upload

Please upload the itemized one-page project budget and a budget narrative (one-page or less). *

Please upload the organization's last completed fiscal year budget AND board-approved, current fiscal year budget (include actuals and note start and end dates for your fiscal year). *

Tax Exempt Status/IRS Designation: e.g. 501(c)(3), 501(c)(4), etc.

Please upload a copy of the applicant's IRS Determination Letter. NOTE: This is not the state sales and use tax exemption certificate. If there has been a name change, provide copies of the amended state certificate of incorporation and amended IRS Letter of Determination.

Fiscal Agent

If applying with a fiscal agent, please upload the IRS Determination Letter for the fiscal agent and a copy of a signed agreement letter between the applicant and the fiscal agent.

Agreement: I certify to the best of my knowledge, that all information included in this proposal is correct. The tax exempt status of this organization, or its fiscal agent, is still in effect. If a grant is awarded to this organization, then the proceeds of that grant will not be distributed or used to benefit any organization or individual supporting or engaged in applicable anti-terrorist financing and asset control laws, statutes, and executive orders.

In the space below, please use your cursor to sign your name, or if you have a touch screen, please sign with your finger on your screen.

Signature, Executive Director (or authorizing official on behalf of the organization) *

clear

Date *