Grant Application Form

1. Eligibility

Primary Location Where Services Are Performed*

Applicants must operate in one of the following countries: India, the United States, Botswana, Kenya, Mexico, Mongolia, Rwanda, South Africa, or Thailand.

Annual Budget (U.S. Dollars)*

Applicants must have a budget between $300,000 and $3,000,000.

2. Contact Information

Application Date*

Name of Person Completing the Application*

Organization Name*

Mailing Address*

Address Line 1 Address Line 2 City ZIP / Postal Code Country

Email*

Phone*

Website*

3. Organization Mission, History, & Leadership

In this section, we ask about your organization's alignment with the Gupta Family Foundation's mission and values.

What is your organization's mission?*

Describe your organization’s activities (be specific).*

Explain in specific terms your organization’s track record of empowering disadvantaged individuals to become self-reliant.*

Summarize your organization’s history.*

Provide the name(s) of the founder(s), their backgrounds, and their current role in the organization.*

Provide the name(s) and titles of the person(s) responsible for the day-to-day operations of your organization.*

4. Funding Request

GFF’s mission is to support organizations that are dedicated to empowering disadvantaged individuals to become self-reliant.

We take a very broad view of “disadvantaged” to include anything that holds a person back from realizing their true potential, such as poverty, physical or mental disability, etc.

Amount Requested (US Dollars)*

Describe your proposed use of the grant (be specific).*

5. Financial Information

In this section, we ask for details of your organization's finances, financial affiliations, and charity status.

Attach your financial statements for the past two years.*

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Max. file size: 10 MB.

From your latest financial statement, provide:*

(a) Administrative and overhead expense line items

From your latest financial statement, provide: Total Revenue*

From your latest financial statement, provide: Percentage of administrative and overhead expenses relative to total revenue*

Please enter a number from 0 to 100.

Is your organization controlled by, operated in connection with, or otherwise affiliated with any other organization(s)?*

No

Yes

Please list each organization and describe its relationship with your organization.*

6. Certification of Public Charity Status

Which of the following best describes your organization?*

Organization certified as 501(c)(3) in the United States

Organization NOT certified as 501(c)(3) in the United States

Step 1: Download Qualification Form here
Step 2: Compete the form
Step 3: Save the Excel file – append your organization’s name to the file name. (GFF Public Charity Qualification Form-your org name.xlsx)
Step 4: Attach the completed form (Excel format)

Attach your completed “GFF Public Charity Qualification Form” here.*

Drop files here or

Accepted file types: xlsx, Max. file size: 10 MB.

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Organizations Certified as US Public Charities under IRS section 501(c)(3):

Attach your IRS 501(c)(3) Confirmation Letter here.*

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Max. file size: 10 MB.

Step 1: Download the GFF Foreign Entity Affidavit Form here
Step 2: Complete, Print, Sign and Notarize form
Step 3: Scan completed form – append your organization’s name to the file name
Step 4: Attach the completed form (PDF) along with all required documentation per the Affidavit

Attach your completed GFF Foreign Entity Affidavit here.*

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Max. file size: 10 MB.

7. Additional Information

You may attach any additional documentation you would like us to review here.

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Max. file size: 10 MB.

Name

This field is for validation purposes and should be left unchanged.

Gupta Foundation