Nonprofit Grants Funding Pre-Qualification Requirements

If you need the application translated into Spanish, Vietnamese, Hmong, or Mandarin/Chinese (Simplified), please contact Mandy Walke at awalke@broomfield.org or 720-887-2279.

1. Basic contact info (organization name, contact name, phone number, address, email, website)
2. Will grant funding serve only Broomfield residents? (Yes/No)
3. Is your organization certified by the Internal Revenue Service as exempt under Internal Revenue Code Section 501(c)(3) or 509(a)? (Yes/No) If yes, please provide the organization’s tax ID number.
4. If not, is your organization utilizing a fiscal agent or sponsor? If so, which organization is serving in that capacity? (Yes/No) (Fill in blank answer if Yes) Please provide the fiscal sponsor’s tax ID number.
5. Is the grant funding you are applying for being used to fund a scholarship? (Yes/No)
6. Is the grant funding you are applying for to be used for any of the following: to pay down debt, make a capital expenditure, or fund an endowment? (Yes/No) 
7. Is the grant funding you are applying for to be used for any of the following: religious programming/activities, proselytizing activities, or for the purchase, development or distribution of materials or information that promote a particular religion or faith? (Yes/No)
8. Is the grant funding you are applying for to be used for any of the following: lobbying, influencing legislation, or participating in any political campaign activity for or against any political candidate? (Yes/No)
9. Is the grant funding you are applying for intended to fund more than 20% of the program’s administrative costs? (Yes/No)
10. If your program/service requires partnering with another group or agency in an offsite location, do you have written approval granting access? (Yes/No/Not Applicable)
11. Are you a new applicant for Broomfield Department Human Services’ (DHS) grant funding? (Yes/No) New agencies can apply for up to $15K. 
12. Please indicate the total amount of funding for this grant request? (fill in blank)  For this grant cycle, the respective granting agencies are seeking to substantially approximate the total amount of grant funding received from both Broomfield Community Foundation (BCF) and DHS for similar programming, in the prior year. Please keep this in mind when determining the total amount of the grant request for this year and identify which service/program you seek grant funding for this year. (dollar amount)
13. Please identify which funding category your grant request fits into: Seniors, Education, or Human Services?  (please choose one)
14. Please identify which service/program you seek grant funding for in this application. (short answer)
15. Please acknowledge your adherence to the City and County of Broomfield Equity Statement:
    The City and County of Broomfield is committed to facilitating an equitable community and workplace. Through coordinated strategic efforts and departmental alignment, the City and County advocates for making services accessible to all, especially those that have been historically excluded and under-resourced, including but not limited to Black, Indigenous, and Persons of Color, Women, those who are Differently-Abled, and members of LGBTQIA+ communities.