Application Instructions

Submit a completed application from your organization that includes the following:

I. COVER SHEET
Fill out the Cover Sheet completely.

II. WORK PLAN
Complete the Work Plan and indicate specific dates in your timeline for the August 1, 2020 to July 31, 2021 grant period.

III. BUDGET SHEET
Complete the Budget Sheet.

IV. NARRATIVE
Please provide responses to the Application Narrative questions.

V. FINANCIAL REPORT
Please complete the financial report for your previous year’s grant.

VI. ATTACHMENTS

• Verification of your IRS tax-exempt status
• Articles of Incorporation
• Most recent financial or Audit Statement
• Most recently filed Form 990
• Organizational chart
• Roster of your current governing board
• Roster and brief biographies of your staff leadership

Submission Information

Please submit your completed Cover Sheet, Work Plan,  Budget Sheet, and Narrative (proposal) by using the form below. The deadline for applications is May 1, 2020. Also, please send hard copies of all attachments along with a copy of your proposal to:

Lina Paredes
Guillermo J. Valenzuela Foundation
170 E. Yorba Linda Blvd., #418
Placentia, CA 92870

Please note we do not accept proposals by fax.

You will receive acknowledgment of receipt of your application by email.

Online Grant Application

  • SECTION I - COVER SHEET

  • MM slash DD slash YYYY

  • Primary Contact Information

  • SECTION II - WORK PLAN

    Timeline should be for grant period August 1, 2020– July 31, 2021.

  • Goals/ ObjectivesStrategies/ ActivitiesOutcomes/ ImpactTimeline (Indicate Dates) 

  • SECTION III - BUDGET SHEET

  • Organization’s Actual Income & Expenses for Last Completed Fiscal Year

  • Current Organization Budget (Current Fiscal Year)

  • Planned Use of Valenzuela Grant (if Applicable)

  • Dates of Fiscal Year (ending month/year)

  • Income

  • Valenzuela Foundation Grants/Request

  • Individual Contributions

  • Foundations, Corporate Funders

  • Government Contracts

  • Fee for Service

  • Special Events/Sales Income

  • Other:

  • Total Income

  • Expenses

  • Salaries

  • Benefits and Taxes

  • Professional Fees

  • Occupancy (rent, utilities)

  • Insurance

  • Telephone

  • Postage/Shipping

  • Copying/Printing

  • Supplies

  • Equipment

  • Travel/Transportation

  • Fundraising

  • Promotion/Publicity/Outreach

  • Training/Technical Assistance

  • Administrative Fees

  • Other

  • Total Expenses

  • SECTION IV - NARRATIVE

  • Organizational Description

  • REPORT ON 2019 VALENZUELA FOUNDATION GRANT


    (You will be required to fill out a financial statement concerning your previous year's grant. You will be provided a link in the confirmation message for this form

  • Guillermo J. Valenzuela Foundation Grant Request

  • SECTION V - FINANCIAL REPORT

    Please complete the financial report for your previous year's grant

  • Expenses for period beginning

  • Please indicate your organization’s proposed and actual expenses for the grant you received from the Valenzuela Foundation.

  • Organizational Budget

  • 2019 Valenzuela Foundation Grant (proposed use)

  • Valenzuela Foundation Grant (actual use)

  • Dates of Fiscal Year (ending month/year)

  • Income

  • Valenzuela Foundation Request

  • Individual Contributions

  • Foundation Grants

  • Government Contracts

  • Special Events/Sales Income

  • Other:

  • Total Income

  • Expenses

  • Salaries

  • Benefits and Taxes

  • Professional Fees

  • Occupancy (rent, utilities)

  • Insurance

  • Telephone

  • Postage/Shipping

  • Copying/Printing

  • Supplies

  • Equipment

  • Travel/Transportation

  • Fundraising

  • Promotion/Publicity/Outreach

  • Training/Technical Assistance

  • Other

  • Total Expenses

  • SECTION VI - ATTACHMENTS

    The following items must be sent in by mail and uploaded using the File Upload Section Below


  • Verification of your IRS tax-exempt status

    Articles of Incorporation

    Most recent financial or Audit Statement

    Most recently filed Form 990

    Organizational chart

    Roster of your current governing board

    Roster and brief biographies of your staff leadership

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