NSP Financial Management Program Application 2020-2021

Applications must be submitted by September 9, 2020. You will be notified of selection results by September 14, 2020. Required attachments should be emailed to Amy Studwell at astudwell@hfpg.org.

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* Name of Organization:

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* The organization’s mission and primary constituency:

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* Geographic area served by the organization. Please indicate the percentage of services provided in the Hartford Foundation’s 29-town region (www.hfpg.org/towns).

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* Number of full-time and part-time staff:

Workshop series participants (maximum of 5) and contact information:

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* Workshop Participant #1: (Executive Director)

Name

Title

Address

Phone Number

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* Workshop Participant #2: (CFO/Finance Director)

Name

Title

Address

Phone Number

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* Workshop Participant #3: (Program and/or Development Director)

Name

Title

Address

Phone Number

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* Workshop Participant #4: (Program and/or Development Director)

Name

Title

Address

Phone Number

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* Workshop Participant #5: (Board Member: Chair, Treasurer, Finance Committee Chair)

Name

Title

Address

Phone Number

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* Size of current operating budget?

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* What is your current financial staffing structure?

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* Please explain why you wish to participate in this program and describe how you think it would be beneficial to your organization.

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* Did your organization receive a PPP Loan in 2020?

Yes

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* Does your organization have an established line of credit?

Yes

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* How many Board members does your organization have?

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* Please provide a demographic breakdown of your organization's Board members:

African American/Black/Caribbean American

Asian American

Caucasian

Latino(a)/Hispanic

Native American

Other

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* I understand that the team identified above is committed to attending any required sessions of this training program in their entirety.

Yes

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* Electronic signature and date:

Additional information to be submitted with your application:

Most recent operating budget, with year-to-date actuals.
Audited financial statements for the three (3) most recent completed fiscal years. (Note: If your organization does not annually conduct an audit, you may substitute your form 990)

Required attachments should be emailed to Amy Studwell at astudwell@hfpg.org