PART 1: FISCAL AGENT
Directions for Part 1: Please respond to questions 1-8, (typewritten, using 12 point font), not to exceed a total of 4 pages Fiscal Agent will: (1) be a legally constituted entity (i.e., policymaking board of directors, regular board meetings with minutes, etc); (2) have a tax exempt Internal Revenue Services designation (501 c3); (3) oversee the implementation and funding; (4) be responsible for reports and reviews; and (5) serve as the contact.
GENERAL INFORMATION ABOUT THE FISCAL AGENT:
1. Applicant/organization
Address
Phone number
Contact name/position/title
Authorized signature of committed partner
Print name
Date incorporated
2. Brief history of the organization
3. Mission and goals of the organization
4. Staff size
5. Population served
6. Describe your experience with grant management.
7. Describe your experience/role in early care and education.
8. Describe your experience in collaborating with other agencies/organizations on early care and education projects/programs.
9. Describe your organization’s current projects/programs.
PART 2: COLLABORATIVE PARTNERS
Directions for Part 2: Please respond to section 1 by using the space provided in each section. Feel free to use more than one page.
Raising Austin expects to see new partnerships that result in innovative ways of thinking, doing business and providing services. The process selected for developing solutions to the objectives is collaboration. For the purposes of this project “collaboration” is defined as follows: Collaboration is a formal process by which two or more organizations commit to working together on common goals. This working relationship allows the organizations to blend their strengths as well as negotiate their differences with an underlying attitude of trust and mutual respect. The structure allows partners to share decision-making, resources, power and authority and to establish formal and informal communication links.
Section 1: List partners who: (1) participated in the development of this letter; (2) are committed to the collaborative process as defined above; and (3) are willing to sign the letter of intent.
Organization/agency
Address
Phone number
Contact person/title position
Authorized signature of committed partner
Organization/agency
Address
Phone number
Contact person/title position
Authorized signature of committed partner
Organization/agency
Address
Phone number
Contact person/title position
Authorized signature of committed partner
PART 3: PROGRAM BRIEF
Directions for Part 3: Please respond to the following by using the space below and one additional page OR two separate pages, (typewritten, using 12-point font) not to exceed 2 pages.
Write a brief narrative describing (1) your collaborative commitment to the objectives; (2) what you hope to accomplish; (3) roles of each partner; (4) how you plan to raise public awareness and; (5) the proposed funding amount needed.
