RESIST, 259 ELM STREET, SUITE 201, SOMERVILLE, MA 02144
TECHNICAL ASSISTANCE GRANT APPLICATION FORM

Cover Sheet

Date of Application  _________________    Date Received  __________________

Name of Organization ______________________________________________________

Address              ______________________________________________________

                     ______________________________________________________

                     ____________________ Telephone (_____)________________

E-mail address _________________________  Web Site ________________________

Contact Person __________________________ Phone (if different) ____________

Tax Status        ____ 501(c)3 organization as recognized by the IRS
                  ____ 501(c)4 organization as recognized by the IRS
                  ____ Federally recognized American Indian tribal government
                  ____ Sponsored by a 501(c)3, 501(c)4, or federally
                       recognized tribal government

If your organization is tax exempt, please attach a copy of your
federal IRS notification letter.  Neither your state tax exemption
nor your employer identification number meet this requirement.

If you are sponsored by a 501(c)3, 501(c)4, or federally recognized tribal
government, please fill in the name and address of that organization and
include their IRS notification letter with this application.

    Fiscal Conduit: ____________________________________

    Address: ___________________________________________

Eligibility

   1.  Prior Funding:  Please list all projects which have been funded
       in the last five years.

Application Date    Award Description                             Award Amount

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

     2.  Organizational Budget for the current year is approximately
         $125,000 or less. ____ Yes
         -- If  budget is over $125,000 then applicant is not eligible for
         funding


TECHNICAL ASSISTANCE FUNDING GUIDELINES

In order to build movement infrastructure and capacity, RESIST will award
current grantees up to $500 to participate in technical assistance
opportunities. This resource is for groups seeking help with training,
consultation, or restructuring as they lay the groundwork to become stronger,
dynamic organizations.  Assistance may include, but is not limited to: board
and staff development, fundraising, fiscal management, computer and software
training, Internet activism, strategic planning and basic organizing
skills.

These funds will only be available to grantees who have been funded at
least twice within the last five years. Funds will be dispersed on a first
come-first serve basis each quarter. Training must occur within 3-5 months of
the TA grant award.

In order to help grantees find training opportunities in their area,
RESIST has developed a Guide to Technical Assistance, which is posted
on our web page at www.resistinc.org. This guide is a continually
evolving work-in-progress, and not the last word on technical
assistance!

GUIDELINES FOR SUBMISSION

1. Applicants must have been funded twice within the last 5 years
in order to qualify for funding

2. Applicants must currently have an organizational budget under
$125,000

3. Use a standard typeface no smaller than 12 points

4. Include Resist's Cover Sheet, page 1 of the application, in
its original form

5. Answers to questions 1 - 5 should not exceed four (4) pages

6. Do not use binders or folders

7. Proposals (including Cover Sheet, application and attachments)
may be submitted by mail or can be e-mailed to grants@resistinc.org.

8. Applications will be awarded on a rolling basis


RESIST, 259 ELM STREET, SUITE 201, SOMERVILLE, MA 02144
(617) 623-5110; resistinc@igc.apc.org.

Copyright Resist, Inc., 2004