Racial Healing + Justice Fund

Thank you for your interest in the Racial Healing + Justice Fund. Racial healing and justice is the commitment to change the conditions of systemic racism that reinforce disparities and endanger lives and to heal the core of our community. This framing has its origins in the community healing work and wisdom of InPower Institute.

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For technical assistance completing this application, please contact Michael Shultz at: michaels@deaconess.org

For questions related to the Racial Healing + Justice Fund or the content of the application, please email: rhjf@forwardthroughferguson.org

Or, schedule a time for Grant Application Support by clicking here.

Do I need a 501c3?

Through the community design process and development of funding priorities, we heard repeatedly the barriers to access present in traditional philanthropy. We heard about the complex applications, the lack of capacity building, and limiting effects of requiring a 501c3. We also heard that this Fund cannot only invest in “the usual suspects.”

For this current round of Racial Healing and Justice Fund proposals, we have adapted our proposal requirements to allow applications from organizations, projects or teamsthat do not have 501(c)3 status or a fiscal sponsor. See the rest of the application for details on how to apply for your organization's structure.

Organizational Information

Note: * indicates a required field. A ? near a question can be hovered over, using your mouse's pointer, for additional information.

Below, please select the description that matches the applicant's entity status. * 🛈

We are a 501(c)3 organization.

We have an existing fiscal sponsor.

We are requesting assistance to gain fiscal sponsorship support.

If you are requesting fiscal sponsorship support, please describe your organization's current structure. *

Is your organization, project or team Black or Brown-led? *

Our Executive Director, CEO or Principal role is held by a person who identifies as Black or Brown

Our Board of Directors is made up of a majority of individuals who identify as Black or Brown

Other, please explain: Other, please explain:

Organization Name (as shown on IRS Letter of Determination) *

Doing Business As (if different from legal name)

Organizational Website

Address *

City *

State *

Zip Code *

Main Contact(s) for this Application *

Main Contact's Email Address *

Main Contact's Pronouns

Executive Director (or top executive) *

Executive Director's Email Address *

Executive Director's Pronouns

Main Contact(s) at Fiscal Sponsor
Organization *

Main Contact(s) at Fiscal Sponsor
Organization's Email Address *

Main Contact(s) at Fiscal Sponsor
Organization's Pronouns

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

What is the EIN # of your fiscal sponsor organization? *

Please upload the IRS Determination Letter for your 501(c)3 organization. *

What is the EIN # of your organization? *

Project Proposal

Describe your organization's primary mission. *

Describe what your organization will do to accomplish its mission. *

Please describe the project for which you are requesting funding. *

Describe how your organization plans to support Black and Brown people. *

Describe the timeline for this project. *

Below, please select whether you are requesting Responsive Funding or Initiative Funding.

Responsive Funding: general operating support grant for requests between $5,000 - $20,000.

Initiative Funding: complex, multi-faceted projects/initiatives to create long-term impact for requests between $40,000 - $100,000. *

I am requesting Responsive Funding.

I am requesting Initiative Funding.

Who does your organization intend to support with these funds? Provide details on the following:
i. Where is your target population located?
ii. Where will you operate?
iii. How many people do you hope to impact?
iv. How will you reach those people? *

Partnering with another organization or group is not required, but if this work is a collaboration, please list the name(s) of your partner organization(s).

Are there other supports you feel you will need to be successful in the project, i.e., space, tools, internet access, etc.?

Please list any accomodations needed for you to complete this project, such as:
a. Assistance filling out application or technical assistance
b. Language Translation
c. Sign Language Interpretation
d. Speech-to-text/captioning Services
e. Assistive Listening Devices and Systems
f. Oral Translation

Financial and Supporting Documents File Upload

Please click here to download the Racial Healing + Justice Fund Grant Budget Template. Once complete, please upload it below. *

Are you already receiving funds to support this project? *

Yes

Please list the other organizations funding this project.

How did you hear about the Racial Healing + Justice Fund grant opportunity? *

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

clear

*Submission Certification 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.