Funding Request Packet

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Dear Southern Equality Fund grant applicant: Funding Request Packet We are thrilled that you are applying for a Southern Equality Fund grant! The Southern Equality Fund provides funding and training to Southern LGBTQ folks doing heroic organizing in their hometowns. The SEF is a project of the Campaign for Southern Equality, an advocacy organization based in Asheville, NC, and working for full lived and legal equality for LGBTQ Southerners. Criteria to apply: Must live and work in the South promoting equality, safety, and/or visibility of LGBTQ people. Southern Equality Fund grants are intended to support grassroots and new work with annual budgets of less than $50,000; however, if your group s budget is more than $50,000, please go ahead and apply, explaining why your work is a fit in the application. You may not apply for additional funding if you have already received $1,000 from the Southern Equality Fund in the past six months. This restriction does not apply to Rapid Response rounds. Although groups are not required to be a 501(c)3 or have a fiscal sponsor in order to apply, we do require that all grantees adhere to 501(c)(3) requirements for funded work. Funding Priorities: Groups or individuals that face barriers to funding their work. Work by and for underserved and marginalized communities. Leadership demonstrates commitment to racial, economic and gender justice. Work that centers the voices and leadership of Trans and GNC (Gender Non-Conforming) individuals and people of color within the LGBTQ community. Projects that respond to immediate and urgent community needs. Projects that work toward long-term change. Options to submit your application: Visit www.southernequality.org/request-funding to submit your application online; Mail your paper application to CSE, PO Box 364, Asheville, NC 28802; Call 828-242-1559 to schedule a phone call with CSE Staff or Advisory Council member; or; Submit a video to lgbtsouth@southernequality.org. You should receive a response to your application within a month of the date of submission, or sooner. If you have any questions or if your request is time sensitive, please contact lgbtsouth@southernequality.org or (828) 242-1559. Thank you for the vital work you do for the LGBTQ community!

There are 3 sections to this application: Section I: Contact Information Section II: Proposal Section III: Optional Questionnaire Today s Date: *Which round of funding are you applying for (i.e. General Fund or a #QueerTheVote) SECTION I: CONTACT INFORMATION *Personal Contact Information: Full Name: Pronouns: Your role or title (if applicable): Applicant Address (Street, City, State and Zip Code): Applicant Phone: Applicant E-mail: Preferrred Communication Method (check one) E-mail Phone Call Text Message Facebook Is your personal contact information the same as the contact information for your group/organization? If yes, skip the next set of questions and proceed to Section II: Proposal. If no, please complete the following section to provide the contact information for your group/organization.

Group/Organization Contact Information: Only complete this section if the organization contact information is different from the individual applicant information above. Organization mailing address: Organization phone: Organization e-mail: SECTION II: FUNDING REQUEST *Denotes required fields. Applications will be returned if incomplete. Proposal: Name of Group or Organization: Website or Facebook page: Tell us about your work in 3-5 sentences per question. Questions for first-time applicants only: 1. *Tell us about your group or organization (What is your mission? What are your primary activities? What are your long-term goals?)

2. *Who is the leadership of your group and who does your work primarily serve within the LGBTQ community? Be specific. (i.e. age, gender identity, race, ethnicity, class, geography, ability, etc.) Questions required for all applicants: 3. *What are you proposing to do with the funds and how does your proposed work respond to the funding priorities of the Southern Equality Fund (see above)? 4. What category(ies) apply to your funding request? (check next to all that apply)

Capacity-building Community education, Advocacy Direct Action Economic Justice Health, Wellness Housing, Homelessness Intersectional, Multi-issue Media, Arts, Culture QTPOC-led Small Town, Rural Trans-led Community Building, Support Networks Crisis Response, Relief Direct Services Healing Justice HIV/AIDS Immigrant Rights Language Justice Political Power Racial Justice Trans-centered Youth, Education 5. If you have received a SEF grant in the past, how does this work build on previous work funded? 5. *Describe your basic timeline and how the money will be used. 6. *Are you a 501(c)3 organization or do you have a fiscal sponsor? This is not required to be eligible for a grant. YES NO UNSURE

7. Name of fiscal sponsor (if applicable): 8. What is annual budget for your group? (Hint: What is your anticipated total income (money raised) for this year?) 9. If your annual budget is more than $50,000, please describe the barriers your group faces to adequately fund this work/project.

SECTION III: OPTIONAL QUESTIONNAIRE 1. Would you be interested in having CSE staff or Resource Mobilization Team members attend/participate in your event? 2. Do you know of another group or individual that would benefit from a Southern Equality Fund grant? If so, please share their 1) name and 2) contact information, so that we can contact them. 3. Are you interested in getting support from CSE staff or Resource Mobilization Team in any of the following areas? (check all that apply) Non-profit management Grant-writing Grassroots Fundraising Marketing & Promotion Grassroots Gathering Planning Racial Justice in the LGBTQ Community Trans Sensitivity Trainings Language Justice Conflict Resolution Strategic Planning Research & Data Other: 4. How did you find out about the Southern Equality Fund? o Resource Mobilization Team member o Friend/Colleague o CSE Staff o CSE e-mail o Facebook o Instagram o Twitter o Other: Before submitting, please read the following carefully and sign below. Once you submit your funding request, you will receive notification from the grants committee within month with a decision. If your request for funding is approved, payment will be sent within 10 business days from when we receive your required documentation. By signing below, you are stating that you have read and understand this information. Signature: Date: