Endowment Fund Award Application

First Name *

Last Name *

Email *

Phone *

Address Line 1 *

City *

State *

Enter required value

Postal Code *

Law School and Class Year *

Resume *

20MB max

Unofficial Law School Transcript *

20MB max

Cover Letter *

Cover letter must address the following:

1. Why you are interested in working for the Applicant Organization and what experiences and interested led you to apply for this application?

2. What you hope to achieve by working for the Applicant Organization

20MB max

Applicant Organization *

Address Line 1 *

City *

State *

Enter required value

Postal Code *

Name of Executive Director: *

Person of Contact: *

Phone *

Email *

Tax-Exempt Status *

Submit evidence of the Applicant Organization's tax-exempt status under Section 502(c)(3) from the Internal Revenue Service

20MB max

Is the Applicant Organization a private foundation? *

Yes

No

Applicant Organization's Most Recent Audited Financial Statements *

20MB max

Current Year Operating Budget *

20MB max

Current Year-to-Date Income and Expense Statement *

20MB max

Names and Affiliations of the Applicant Organization's Board of Directors *

20MB max

Has this application been reviewed by the governing board of the Applicant Organization? *

Yes

No

Applicant Organization Narrative *

The information listed below must be provided in a proposal narrative submitted together with the Application Form:

1. Description of the Applicant Organization: Provide a brief history of the Applicant Organization. Describe the purpose and mission of the organization, its objectives, and the scope of its activities, including primary programs, services, constituents, and geographic service area. Describe in particular how the Applicant Organization serves the Latino community in Minnesota.

2. Description of the Intern's Duties and Qualifications: Describe the duties and responsibilities of the law student intern who will be the beneficiary of this grant, including the number of hours the intern will work per week and the types of projects that the intern will carry out. Describe the qualifications the Applicant Organization is seeking in eligible law student intern candidates.

3. Reason for Request: Provide a statement as to why the Applicant Organization should be awarded this grant.

20MB max

Certification

Please upload a signed certification agreeing that by submitting this application:

1. The Applicant Organization will disburse the grant proceeds for the purpose stated in this Application and agrees to refund any unused portion of grant proceeds, if any. In addition, the applicant organization agrees to provide any interim and/or final reports as may be required by the MHBA and or the Saint Paul Foundation.

2. The Applicant Organization acknowledges that payment of grant proceeds is at the discretion of the MHBA and the Saint Paul Foundation. At its discretion, the MHBA and/or the Saint Paul Foundation may modify the terms of payment of grant proceeds, or may cancel payment of the grant at any time.

3. The Applicant Organization agrees that the Saint Paul Foundation and the MHBA, at their discretion, may engage the participation of advisors in the grant application review process.

20MB max