ORGANIZATION INFORMATION:

Eligibility Requirements*

• Organizations and programs that align with the Foundation’s mission to support and enhance the quality of life of vulnerable and underserved older adults residing in Philadelphia County.

• Organizations that are based outside of Philadelphia County but provide services in Philadelphia County. In this case, grants would be restricted to the organization’s Philadelphia County-based program/s.

• Organizations and programs that reflect the guiding principles of the Foundation.

• Organizations, including newly established organizations, of the following types: 501(c)3 public charities, fiscally sponsored organizations or programs, supporting organizations, other 501(c) organizations (within legal limits).

• Organizations where older adults can go to receive services and socialization (examples: Senior Centers, Adult Day), organizations that provide in-home services (examples: Home Maintenance Programs, Food Programs, but excluding those services paid for by insurance), and organizations that provide programs that support those older adults living in the community (examples: Information & Resources, Transportation, Food Programs, Companionship Services, and Virtual Programs).

• The Foundation provides general operating support to organizations with less than a $5 million operating budget.

• If an organization requests general operating support, its primary focus must be serving older adults residing in Philadelphia County.

I have read and understand the listed eligibility requirements.

Choices: Yes or No

Grant Request Name* 

Please provide a name for this Grant Request using the following as a guide: [Fiscal Year for which General Operating Support is being sought] + “General Operating Support” e.g. 2024 General Operating Support

Character Limit: 100

Organization History & Mission:* 

Please provide a brief history of the organization including the mission statement if your organization has not previously applied and received support from The Sarah Ralston Foundation.

Character Limit: 2500

Number of Staff:

How many staff does your organization employ on a full-time and part-time basis?

Number of Full-Time Staff:*

Number of Part-Time Staff:*

Staff Composition:

How many full-time and part-time staff self-identify as part of an underrepresented population (e.g., gender, sexual orientation, race, ethnicity, age)?

The SRF collects demographic information including race ethnicity and gender identity for internal aggregated data for analysis only. Providing demographic information is voluntary and an option exists to select “Prefer not to disclose” for each category. The demographic data collected are confidential and not used for consideration of funding of individual awards. Collecting demographic data provides information for The Sarah Ralston Foundation to better understand its supported Awards program participation.

Composition of Full-Time Staff:*

Composition Part-Time Staff :*

Staff Composition*

Please provide demographic information about your organization’s staff members who self-identify as part of an underrepresented population (e.g., gender, sexual orientation, race, ethnicity, age)?

Character Limit: 1000

Staff Leadership*

Please provide information (Name, Title, Tenure) about your organization’s staff leadership. Include any demographic information you have collected about your overall leadership.*

Character Limit: 1000

The SRF collects demographic information including race ethnicity and gender identity for internal aggregated data for analysis only. Providing demographic information is voluntary and an option exists to select “Prefer not to disclose” for each category. The demographic data collected are confidential and not used for consideration of funding of individual awards. Collecting demographic data provides information for The Sarah Ralston Foundation to better understand its supported Awards program participation.

Addressing Equity:*

What is your organization doing to explicitly address equity? Please include perspective from both your Board and staff leadership.

Character Limit: 2000

ORGANIZATION’S PROGRAM INFORMATION:

Description of Organization’s Programs:*

Please provide a brief description of the organization’s programs. You may upload relevant program material below.

Character Limit: 2500 | File Size Limit: 5 MB

Description of Population Served:*

Please describe the older adult population your programs serve (socioeconomic, demographic, age range).

Character Limit: 2500

Organization’s Fiscal Start Date:*

Character Limit: 10

Organization’s Operating Expenses:*

Organization’s budgeted operating expenses for current fiscal year:

Character Limit: 20

Grant Amount Request (Single Year):*

Character Limit: 20

Intended Impact of the Organization’s Programs:*

What is the intended impact of your organization’s programs?

Character Limit: 2500

ADDITIONAL INFORMATION:

Organization Budget:*

Please provide a budget (in any format) for the organization’s fiscal year relative to the period for which support is being requested. The organization budget may include a narrative detailing program (for which support is being sought) expenses (administration and program), and revenue (philanthropy, earned revenue, government support and other sources).

File Size Limit: 5 MB

Audited Financials:*

Please provide audited or reviewed financials for the last complete fiscal year. If the organization does not perform an audit or a review, please provide accountant prepared financials including a Profit & Loss Statement and a Balance Sheet for the last complete fiscal year. *Please contact Lynette Killen (lkillen@sarahralstonfoundation.org) if you have any questions.

File Size Limit: 8 MB

Determination Letter:*

Please provide the organization’s 501(c)(3) IRS Determination Letter. If you are a fiscally sponsored organization or a supporting organization, please include the letter for your fiscal sponsor or your supported organization.

File Size Limit: 5 MB

The General Operating Support Committee reviews grant proposals once each year. Proposals are due on or before April 1st.