Please note that the Bullitt Foundation no longer accepts unsolicited proposals. Please contact a program officer to determine your eligibility.

 Complete the following Application Cover Sheets, attach them to the front of your proposal, and submit to Grant Application, Bullitt Foundation, 1212 Minor Avenue, Seattle, WA 98101-2825. To apply, an organization must be recognized by the government as having charitable tax status. The charitable organization should be identified as the Applicant Organization. If a significant part of a project will be conducted by a different organization or at a different office location, complete the Project Information section on page two of this cover sheet. Download the Application Cover Sheets (Microsoft Word format).

Date:                         

Applicant Organization: (All information below should be pertinent to the main office of the organization with charitable tax status.)

Applicant Organization:

Applicant Mailing Address:

Applicant Phone Number:                        

Applicant Fax Number:                        
                        
Applicant Email Address:                                         

Applicant Web Site Address:                        
                                
Applicant Contact/Title:

CEO:

Budget/Funding Information:                                 
(All figures should be in US $ and reflect information from the organization
with charitable tax status. The Foundation awards only one-year grants.)        US $ Amounts

Applicant Organization’s 12-month anticipated budget during the grant
term, if awarded:        US $
(This figure should include all funds that the applicant organization anticipates
receiving/expending. It includes all fiscal sponsorships and project budget items.)

Project’s 12-month anticipated budget during the grant term, if awarded:    US $
(This figure should include all income/expense items relevant to activities
described in the outcomes section of the proposal.)          

Amount requested from the Bullitt Foundation:    US $

Charitable Tax Status Information: (Check the applicable item below.)

____    IRS 501 (c)(3) determination letter is attached.

____    Canadian Certificate of Incorporation and charity registration documents are attached.

____    Other - We are a validly organized and operating:

____     Municipal Corporation     ____ Public Agency     ____ Tribal Governments
 
Project Information: (Complete only if information is different than the Applicant Organization section.) All information below should be pertinent to the organization or office where project activities will be conducted. This includes information about the organization conducting a project on behalf of a fiscal sponsor, information about a regional/local office, or other project office information.

Project Organization:

Project Mailing Address:

Project Phone Number:    

Project Fax Number:

Project Email Address:

Project Web Site Address:

Project Contact/Title:

Project Title:

Project Summary: (one brief paragraph)










Applicant Organization Mission Statement:



Project Organization Mission Statement: (If different than Applicant)



Specific Challenges:

Are there any unusual circumstances or challenges facing your organization that could have bearing on your ability to meet the objectives of the proposal?
 
List of Anticipated Outcomes to be Accomplished in the Project Year:

1.    Describe what will tangibly change in the world as a result of your work. Emphasize outcomes or consequences rather than number of meetings, mailings, etc.

2.    Briefly identify in bullet form the three to five major outcomes anticipated in the project year.

3.    Please limit each outcome bullet to two to three sentences.

4.    Please be specific about what, where, by how much, by how many.

5.    Base the proposal, work plan, and budget on these outcomes.

6.    Include both environmental outcomes and organizational outcomes.