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Nonprofit Questionnaire

Please complete this 11-part questionnaire.


(These answers make a good script for your organization’s standard presentation)
Section A: Your Nonprofit
Part 1: Nonprofit details

 Nonprofit name
 EIN
 Headquarter address
 Contact
o Name
o Telephone number
o Email
 Online content resources (provide URL’s): For example, provide URL’s of the following:
o Website
o LinkedIn (profiles of executive team and board members -- optional)
o Facebook
o Twitter
o Youtube

Part 2: Nonprofit legal structure and business details

 Tax structure
 Year of incorporation
 Total Revenue (past full year and tell us what year that is)
 Total Expenses (past full year and tell us what year that is)
 Top 3 Funders
Part 3: Describe what your nonprofit does:

 Short description [maximum 140 characters].


 Overview [maximum 600 characters]
Part 4: Please specify the following details about the composition of your board and staff.
Supply a number next to each description:

Board and Staff Composition [insert number] Board Staff

Number of people:

American Indian/Alaska Native:

Asian American:

Black/African American:
Hispanic/Latino:

Native Hawaiian/Other Pacific Islander:

Women:

Lesbian, Gay, Bisexual, Transgender:

Veterans:

Developmentally or Physically disabled:

Section B: Programs in your Nonprofit


Part 5: Program details

 Name of Program
 Overview (600 chars)
 Short Description (150 chars)
 Location of operation
o City (free form text)
o State
o Zipcode (free form text)

Part 6: Sector of operation (National Taxonomy of Exempt Entities (NTEE) taxonomy):


I. Arts, Culture, and Humanities J. Employment/Jobs
II. Education K. Food, Nutrition, Agriculture
L. Housing/Shelter
III. Environment, Animals M. Public Safety, Disaster
C. Environmental Quality, Protection Preparedness & Relief
& Beautification N. Recreation, Leisure, Sports,
D. Animal Related Athletics
O. Youth Development
IV. Health P. Human Services: Multipurpose &
E. Health - General & Rehabilitative Other
Services
F. Mental Health, Crisis Intervention VI. International/Foreign Affairs
G. Health - Multipurpose
Associations/Services Associated VII. Public/Society Benefit
with Specific R. Civil Rights, Social Action,
Diseases/Disorders/Medical Advocacy
Disciplines S. Community
H. Medical Research Improvement/Capacity Building
T. Philanthropy, Voluntarism, and
V. Human Services Grantmaking Foundations
I. Public Protection: Crime & U. Science and Technology
Delinquency Prevention, Legal Research Institutes/Services
Administration, Legal Services
V. Social Science Research IX. Miscellaneous Mutual/Membership
Institutes/Services Benefit Organizations
W. Public/Society Benefit:
Multipurpose & Other
X. Nonclassifiable organizations
VIII. Religion

Answer parts 7-11 with bullet points


Part 7: Explain the social problem (symptoms and systemic cause). What is the size of the
problem [Char limit of 600]?
Part 8: What is your program’s solution? Why is it better than other current solution(s) [Char
limit of 600]?
Part 9a: How much money does your program need?
Part 9b: Desired type of Capital (grant, loan, PRI)
Part 9c: How will you use it [Char limit of 600]?
Part 10: Explain criteria for measuring success and failure? Provide timelines, milestones and
criteria to measure success and social impact [Char limit of 600].
Part 11: How will investing in your organization give a grantmaker visibility? What steps will
you take to get them Press [Char limit of 600]?

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