Tell Your Story Grant Application Form

Use this form to apply for the Bartlesville Community Foundation's Tell Your Story Grant, a $20,000 comprehensive support package aimed at fostering long-term growth and visibility for your organization. Complete all sections and submit the application by July 31, 2026. Incomplete applications will not be considered.

Phone

This field is for validation purposes and should be left unchanged.

Section 1: ORGANIZATION INFORMATION

1. Name of Your Organization:(Required)

2. Organization Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

3. Executive Director/Primary Contact Name:(Required)

4. Primary Contact Phone:(Required)

5. Primary Contact Email:(Required)

Enter Email Confirm Email

6. Year Established in Bartlesville:(Required)

Please enter a number from 1 to 2024.

(What year did your organization start providing services in Bartlesville?)

7. In which nonprofit sector does your organization work:(Required)

Arts, Culture, and Humanities

Education

Environment & Animal Welfare

Foundation

Health

Human Services

Public-Society Benefit

Religion

Other

If you selected "Other" above, please explain:

8. Check all that apply.(Required)

Our organization is affiliated with a regional and/or national organization.

Our organization has a component fund with the BCF.

Our organization is a BCF fiscal sponsorship.

None of the above.

Section 2: MISSION AND IMPACT

1. Mission Statement:(Required)

(What is your organization's mission statement?)

2. Briefly describe your organization's history, including the "spark" that lead to its founding:(Required)

1000 character limit

3. Provide a timeline of your organization's major accomplishments/milestones:(Required)

Year

Milestone

Use the (+) to add additional rows.

4. Describe the primary services or programs your organization offers in the Bartlesville community:(Required)

1000 character limit

5. Describe any strategic collaborations that your organization has engaged in to bolster your mission and ensure the most impactful use of charitable dollars.(Required)

1000 character limit

6. Summarize the key impact metrics of your organization over its LIFETIME:(Required)

1000 character limit

7. Describe notable changes or improvements your organization has made to programs in response to shifting community need:(Required)

1000 character limit

(Option 1) 8. Summarize CURRENT data, key findings, and/or studies that demonstrate the scale and depth of your impact so we can better understand the effectiveness and evolution of your organization:(Required)

1000 character limit

(Option 2) 8. Upload a one-page infographic that presents the information requested above.

Max. file size: 16 MB.

Section 3: GRANT PROPOSAL

1. Describe the value of endowment for your organization:(Required)

1000 character limit

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2. How will $10,000 in endowment support benefit your organization in the long term?(Required)

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3. Outline the operational needs that will be addressed with the $5,000 in operational funding:(Required)

2. When was the last time your organization produced a promotional video? Did you speak to the value of endowment in the video?(Required)

500 character limit

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5. What is your average annual marketing budget?(Required)

3. How might a promotional video speaking to the value of endowment enhance your organization's ability to connect with stakeholders?(Required)

1000 character limit

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7. Provide a brief summary of the story you wish to tell through the promotional video:(Required)

Section 4: FINANCIAL INFORMATION

1a. What is your organization's total annual budgeted revenue for your current operating fiscal year?(Required)

1b. What is your organization's total annual budgeted expenses for your current operating fiscal year?(Required)

2. Please describe the various sources of income for your organization.(Required)

1000 character limit

3. Has your organization ever had an audit or financial review?(Required)

Yes

If yes, please expand, including how recently and how often?

4. Has your organization had to make any changes to programs, operations, or funding strategies as a result of federal/state funding adjustments or other grantor funding priority changes? Explain why or why not.(Required)

1000 character limit

5. Please explain any unique short-term income/expense items that might significantly affect your current fiscal year budget values (for example: capital campaign, special project):(Required)

500 character limit

6. Does your organization have an endowment fund?(Required)

Yes

If the answer is no, and your organization is the recipient of this grant, an endowment fund will be opened for your organization at the BCF.

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If your organization has an endowment, what is the balance?

<$50,000

$50,001 - $500,000

$500,001 - $1,000,000

$1,000,001 - $5,000,000

>$5,000,000

7. Upload the first two pages of your organization's most recently filed IRS Form 990.(Required)

Accepted file types: pdf, Max. file size: 16 MB.

Section 5. SUPPORTING INFORMATION

1. List your organization's current Board of Directors:(Required)

2. Has your organization conducted a strategic planning process in the last five years? If so, please briefly describe the plan and your organization's desired outcomes.(Required)

1000 character limit

3. If awarded, would your organization's leadership staff, board members, and key donors be willing to be featured in an endowment promo video?(Required)

1000 character limit

Section 6. AUTHORIZATION

1. Certify that the information provided in this application is accurate and complete to the best of your knowledge; 2. Commit to sending at least two people to attend the Celebrate Together Luncheon on September 16th at the Bartlesville Community Center from 12 - 1:30 p.m. (You will be provided 2 free tickets.); 3. Commit to working with the BCF and their videographer of choice in the production of the endowment promotional video within 9 to 12 months from the time the grant is awarded; and 4. Acknowledge that, if awarded, the endowment portion of this grant will be permanently restricted. If your organization does not currently have an endowment, one will be started at the Bartlesville Community Foundation with this grant.(Required)

By checking this box and typing your name below, you:

1. Certify that the information provided in this application is accurate and complete to the best of your knowledge;
2. Commit to sending at least two people to attend the Celebrate Together Luncheon on September 16th at the Bartlesville Community Center from 12 - 1:30 p.m. (You will be provided 2 free tickets.);
3. Commit to working with the BCF and their videographer of choice in the production of the endowment promotional video within 9 to 12 months from the time the grant is awarded; and
4. Acknowledge that, if awarded, the endowment portion of this grant will be permanently restricted. If your organization does not currently have an endowment, one will be started at the Bartlesville Community Foundation with this grant.

Please provide the names of the two individuals who plan to attend the event on behalf of your organization?

Please let the BCF office know if these names change or if you do not plan to use both tickets.

Name(Required)

Date(Required)

MM slash DD slash YYYY

(PLEASE NOTE: When you choose "Save and Continue Later", you will be taken to this grant's home page. You will then need to scroll to the bottom and enter your email address.)