Thank you for your interest in The Lauren Goldstein Opportunity Fund. In order to help us consider your organization for support, please provide us with the following information.

Organization Name
Street Address
City
State
Zip Code
Telephone
Email
Contact Person
Organization's Mission
Organization's Budget (current year)
Organization's Budget (last year)
What is the make up of your funding base? (indicate percentages)	Foundations Government Corporate Individuals Other
What is the composition of your Board?
Does the Board play a role in fundraising?
What is the composition of your staff?
What is the composition of your development department?
Other human resources (consultants, volunteers)?
Resource Development History
Have you had an event in the past? Was it successful? In what ways?
How much did it net/gross?
Assistance requested or activity to be funded. (Please be as specific as possible.)
If events, what are your goals for the event?
What do you envision the event to look like? (number of people, kind of event)
Who do you expect to raise the money from? What connections do they have to prospective audiences?
Projected timeframe for work to be funded
Additional comments