Save my progress and resume later | Resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Password must contain the following:

12 Characters
1 Uppercase letter
1 Lowercase letter
1 Number
1 Special character

As part of our 10-year, $100 million Black Community Commitment in partnership with Michael Jordan, we are pleased to announce the fifth round of our annual Community Grant Program, benefiting grassroots nonprofit organizations throughout the United States. The application portal will open on January 15th - February 16th 2025 at 11:59PST.

Qualifications and Application Requirements:

Be a non-profit organization with 501(c)(3) tax-exempt status that has been established since 2023 or prior.
Have an annual operating budget between $100,000 to $3 million.
As this program lives within our Black Community Commitment, your nonprofit organizations must have a mission that aligns with at least one of our key focus areas.
Organizations with fiscal sponsors are eligible to apply. Please note that you will also be asked to upload your fiscal sponsor's governance materials; a list of directors and their affiliations; two years of audited financials; Form 990; and a signed MOU between your organization and the fiscal sponsor.

Focus Areas:

ECONOMIC JUSTICE Expand pathways to generational wealth to Black people through access to financial literacy and career development coaching.

EDUCATION Support Black students by increasing the amount of Black educators, supporting educators in underserved neighborhoods, and providing access to higher education opportunities.

NARRATIVE CHANGE Increase awareness of the role race plays in our history to drive a deeper understanding of the consequences of racism in our everyday lives.

SOCIAL JUSTICE Grow the Black Community’s social and political capital by investing in and advocating for policy reform to increase voter registration and turnout.

Please click this link to download a PDF of all questions in this application. Please note that applications will not be accepted via PDF and must be submitted through the online application link only.

Customer Service:

For questions regarding the grant request form or the Black Community Commitment program, please e-mail: Kayla@Cafamerica.org. Please allow two working days for a response.

I agree that my organization meets these requirements and is aligned to the Black Community Commitment mission and at least one of the focus areas. *

Grantee details

Grantee Official Name	AKA “Doing Business As” Name (if different from formal name)
Office Address	City
State/Province	Postal Code/Zip
State/Province	Country
Telephone	Website
General Organization Email	Tax ID/EIN Note: if you have a fiscal sponsor and do not have an EIN, add the fiscal sponsor EIN below and set this field to N/A

Do you have a fiscal sponsor? We are happy to support fiscally sponsored organizations. Please note that you will also be asked to upload your fiscal sponsor's governance materials; a list of directors and their affiliations; two years of audited financials; Form 990; and a signed MOU between your organization and the fiscal sponsor.

YesNo

Fiscal Sponsor information

Organization Name

AKA

“Doing Business As” Name (if different from formal name)

Contact Name

Contact Phone

Contact email

Organization Office Address

City

State/Province

Postal Code/Zip

Country

Website

General Organization Email

Tax ID/EIN

Note: If you do not have an EIN, add the fiscal sponsor EIN here and set the EIN field for your own Organization to N/A

Primary and Secondary Contact Information

Please provide details of one primary contact here.

Primary Contact

Prefix	First name
Last Name	Title
Phone number	Email One email only, no spaces, no special characters (?><():;&^*)
Type of contact

Secondary Contact

Prefix	First name
Last Name	Title
Phone	Email One email only, no spaces, no special characters (?><():;&^*)
Type of contact

Who, of the above two contacts, is the Signatory for this application?

Primary ContactSecondary Contact

Board and Senior Staff

Please enter each individual name of the Board of Directors and Senior Staff within the application.

Board Members

First Name	Middle Name
Last Name	Employer
Title	Bio
Click "Add another Board member" to add additional Board members.	Senior Position

Leadership including executive and/or senior managers

First Name	Middle Name
Last Name	Senior Position
Title	Bio
Click "Add another Leadership member" to add additional Staff

Banking Information and Signatory

Banking Information

Formal Account Name	Bank Name
Account Number/IBAN	SWIFT/ABA/Routing Code
Bank Street Address	City
State/Province	Zip Code/Post Code
Bank State/Province	Country
CUIT	CNPJ ID Number
NIT 0 Cedula	CLABE
Comments regarding wire transfer	IFSC
Currency

Intermediary Bank

Bank Name	Street Address
City	Postal/Zip Code
Country	State/Province
State/Province	Account/IBAN
SWIFT/ABA

Signatory

I confirm that the above information is for an account that solely benefits the above named charity. I understand that this is my default account, and any distributions from CAF America will be directed to this account and that I am responsible for providing CAF America with any changes to the charity account. I confirm that all funds granted into this account by CAF America will be used for charitable purposes

I agree

Signatory

Date

Supporting Documents

Required Supporting Documents

Please upload your logo

PNG file format only

Please upload your organization operating budget.

Please upload your most recent audited financial statements. If you do not have audited financial statements, please upload a copy of your revenues and expenses from the last fiscal year, or the most recent 990.

Please upload your second most recent audited financial statement

Please upload your organization's organizing or governing documents.

Please upload your organization's IRS Determination letter.

Please upload the project budget for which you are requesting funding using this template

Fiscal Sponsor Documents

If applicable, please upload your fiscal sponsor's organization operating budget.

If applicable, please upload your fiscal sponsor's most recent audited financial statements.

If applicable, please upload your fiscal sponsor's second most recent audited financial statements.

If applicable, please upload your fiscal sponsor's organizing or governing documents.

If applicable, please upload your fiscal sponsor's current list of trustees/board of directors.

If applicable, please upload your fiscal sponsor's current list of senior staff.

If applicable, please upload your fiscal sponsor's IRS Determination Letter.

If applicable, please upload a signed MOU between your organization and your fiscal sponsor.

Grantee Application

Agreement

On behalf of the organization I agree that any funds which Charities Aid Foundation America, Inc., (“CAF America”) may grant to the Organization during its Eligibility Period (defined below)
(collectively, the “Grants”) will be used as follows:
• The Grants, any income earned on Grant funds, and any capital assets created, developed, or acquired with the Grant funds will be used only for charitable purposes, specifically to fund the charitable activities described in the Grant Purpose section of the Organization’s Grant Eligibility Application (“GEA”) and only for expenses incurred after the payment of this grant.
• All Grant funds and income thereon must be maintained in a separate account dedicated to conducting the charitable activities described in the Grant Purpose section of the Organization’s GEA, either as (1) a physically separate bank account, or (2) a separate bookkeeping account maintained as part of the Organization’s financial records.
• The Organization will provide CAF America with annual written reports, signed by an officer of the Organization,
describing its use of the Grants provided by CAF America each fiscal year. Such written reports will discuss the
Organization’s compliance with the terms of the Grants, the progress made in accomplishing the purposes of the
outstanding Grants during that fiscal year, and any changes to the information submitted in this GEA. Such reports shall be due 4 months after the end of the Organization’s fiscal year. CAF America will continue to collect a report for each fiscal year thereafter in which the Organization has unexpended funds from the Grants. CAF America reserves the right to modify this reporting schedule.
• The Organization shall only report on expenditures related to CAF America grant funds. Expenditures from other grantors should not be included on grantee reports submitted to CAF America.
• The Organization will not use the Grants, directly or indirectly:
o to carry on any propaganda or otherwise attempt to influence legislation;
o to influence the outcome of any specific public election or to carry on any voter registration drive;
o to induce or encourage violations of law or public policy or to cause any improper private benefit to occur;
o to provide tuition, medical expenses, or other economic benefits to a donor, a donor’s advisor, or a member of a
donor’s family;
o except as provided in a separate written agreement with CAF America, (i) to make any grants to individuals or
organizations, (ii) to create, develop, or acquire any capital asset worth more than $5,000 with a useful life of over one year, or (iii) to conduct activities in (or travel to or from) the United States (unless the Organization is a U.S. entity);
o or to take any other action inconsistent with Section 501(c)(3) of the Internal Revenue Code.
• The Organization does not knowingly employ individuals or contribute funds to organizations that the Organization otherwise knows to support terrorism or to individuals or organizations found on any terrorist-related list promulgated by the U.S. Government, the United Nations or the European Union, including the Department of Treasury’s Office of Foreign Assets Control Specially Designated Nationals List, the Department of Justice’s Terrorist Exclusion List and the list annexed to Executive Order 13224.
• The Organization warrants that it does not and will not use Grant funds to (i) make any illegal payments directly or
indirectly to government officials, political parties, or political candidates outside the US, (ii) make any other payments to such persons (or to others knowing that they will use the funds to make payments to such persons) that would cause CAF America or any other person to violate the United States Foreign Corrupt Practices Act of 1977 as amended.The Organization will maintain records of receipts and expenditures of the Grant funds for a period of seven years after the Grant funds have been expended. The Organization will make such records available to CAF America for inspection, upon request. CAF America may monitor and conduct an evaluation of operations under the Grants, which may include a site visit arranged by CAF America to observe the Organization’s program, discuss the program with the Organization’s personnel and review financial records and other materials connected with the activities financed by the Grants. If CAF America is not satisfied with the quality of the work done or the progress made under the Grants, or determines that the Organization is not capable of satisfactorily completing the Grants, CAF America may, in its sole discretion, withhold payment of Grant funds, or declare the Grants terminated.
• If the Organization is dissolved, if the Grants are terminated, or if the Organization is otherwise unable to use the
Grants for the activities described in the Grant Purpose section of the GEA, the Organization will promptly return any unexpended grant funds to CAF America.
• The Organization and its authorized signatory certify that the responses to this Grant Eligibility Application are true and complete. If they are not, CAF America may declare the Grants terminated and require repayment of some or all of the Grants.
• If any portion of the Grants is used for any purpose other than those described in the Grant Purpose section of the GEA, the Organization will promptly notify CAF America. CAF America will withhold any further payment of Grant funds until it has received assurance that the Organization has taken appropriate precautions sufficient to prevent future misuse from occurring. In addition, CAF America may require the Organization to repay some or all of the Grant funds.
• The Eligibility Period ceases, and this agreement shall be considered terminated, two-three years after the parties
execute this agreement, except to the extent CAF America extends or shortens such eligibility period (and this
agreement) in its own discretion. The Organization represents, warrants, and undertakes that the facts stated in this GEA, and such updates to those facts that the Organization may submit from time to time in subsequent communications with CAF America, are accurate and complete.
• The Organization acknowledges and accepts that the award of any Grant is a matter of CAF America’s sole and absolute discretion and that nothing in the GEA, these Grant Terms or any prior dealings with CAF America, imposes any obligation on CAF America to award any Grants. In particular, the Organization acknowledges that execution of these Grant Terms by CAF America merely indicates agreement and acceptance by CAF America that a necessary pre-condition to the award of any Grants (namely the agreement and acceptance by the Organization of these Grant Terms) has been satisfied.
• The Organization understands that this Agreement does not confer upon the Organization any special recognition from, endorsement by, or affiliation with CAF America.
• CAF America reserves the right to change these Grant Terms in the future, and such terms shall become binding upon the Organization if it does not object within 30 days after receiving notice of such changes. If the Organization objects and the parties cannot agree on suitable terms within 30 days, the Grants will terminate.
• This Agreement is governed by the laws of the Commonwealth of Virginia and, with respect to the Grants, supersedes all prior agreements of the parties.

I Agree

I certify that by typing my name on the signature line I intend to sign the Agreement and be bound to the same extent as if I had provided a physical signature. *

Signatory

Signatory's Title

Date of Signature

Click Submit to finalize this application, if you have any questions please contact us.

Save my progress and resume later | Resume a previously saved form

Funding Source Type	Name
Amount	Year

Funding Source Type	Name
Amount	Year

Grantee details

Primary and Secondary Contact Information

Board and Senior Staff

Banking Information and Signatory

Application Questions

Supporting Documents

Grantee Application