LISC/Foot Locker Foundation Community Empowerment Program

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This application form captures preliminary information for organizations seeking grants and technical assistance to organizations that offer a range of services for young people, including health and wellness, education and life skills support, mentoring, and workforce development. The program offers two levels of funding: 1) Grants that will support current youth programming, create new programming, or extend existing programming. These grants will range from $25,000 to $75,000 over one year; or 2) Grants to support capital improvement projects that enhance the impact of youth programming. Funding will range from $25,000 to $100,000 over one year.

In addition to providing a brief description about your proposed program or project, please be prepared to respond to a few questions about your organization and its staff, current programs, and current funding on pages 3, 4, and 5 (all applicants may not see each page of the application) and upload attachments on page 6. To preview the questions, you'll have to accept the Terms and Conditions below and declare your organizational structure on the next page.

Responses are due no later than 11:59 PM (EDT) on September 30, 2024. There will be no exceptions to this deadline granted. Applicants are encouraged to submit their applications well in advance of the deadline.

Terms and Conditions

Applicants may apply only once and grants will be limited to one per organization. Priority will be given to organizations that serve youth in low-moderate income areas within the following key Foot Locker markets: Atlanta, Baltimore, Chicago, Dallas, Detroit, Houston, Los Angeles, Newark, New York City, Oakland, Philadelphia, San Francisco, and Washington DC.

Organizations must have a mission aligned with one of three Foot Locker Foundation social impact pillars: Community Outreach (health and wellness, including parks and recreation), Mentorship, and Career Development. Other eligibility criteria may apply.

To be eligible for the Program, organizations applying for grant funds must meet all the criteria listed below:

Be a community-based organization, serving a neighborhood consisting primarily of low and moderate-income families and individuals.
Have at least one-full time staff person (all-volunteer organizations will not be considered).
Be in existence for at least three years.
Have a proven track record in programming, operations, or facilities management.
Have 501(c)(3) tax-exempt status.
Located in one of the Program Target Markets (listed above).

If your organization is selected as a finalist, you will be notified via email. Being selected as a finalist does not guarantee a grant will be awarded. As a finalist, additional documentation may be required.

Privacy: Information provided through the application process is the responsibility of each applicant. Applications submitted to the portal remain confidential to the general public and any fellow applicants. Applicants will not hold LISC, Foot Locker, or either of their respective affiliates, and/or their affiliates’ respective members, partners, directors, officers, employees, and agents liable for any losses, damages, costs, or expenses of any kind relating to the use or the adequacy, accuracy, or completeness of any information loaded in the form. For further information please see LISC’s privacy policy. Data entered on this secure form utilizes Form Assembly. More info.

Conflict of Interest: Current directors, officers, employees and contractors of LISC or Foot Locker and such individuals' family members (spouse, parents, children, grandchildren, great-grandchildren, and spouses of children, grandchildren, and great-grandchildren) may not be eligible to receive an award.

Monitoring: LISC may monitor and conduct evaluation activity funded by the grant. This might involve a review of quantitative or qualitative data needed to understand the impact of the fund.

Submission Guidance: Once application is submitted, you will not be able to make changes or add additional documentation. LISC cannot accept changes to your application once it has been submitted, so please review it carefully. Your work may not be saved if you leave the web page before submitting the application. You may also lose your work if your internet is disconnected, or as a result of other potential web browser issues. Chrome is the preferred browser.

You will see a confirmation page after successful completion of this application.

1. I acknowledge I have read and agree to the Terms and Conditions stated above:

YesNo

Organizational Structure

Please note: Eligible applicants must be a 501(c)(3) tax-exempt organization or have a 501(c)(3) serving as the applicant's fiscal agent. 100% of grant proceeds must support the project or programming; grant proceeds may not be used to pay for salaries, overhead, or any administrative costs related to the fiscal agent relationship.

2. Applicant Organization Name:

Questions throughout this form are about this organization (the applicant organization) unless otherwise noted.

3. Is the organization listed above a 501(c)(3) tax-exempt organization?

YesNo

3.1 Does the applicant organization have a 501(c)(3) fiscal agent with whom it is pursuing this grant opportunity?

YesNoNote: 100% of grant proceeds must be used to support project or programming; grant proceeds may not be used for administrative costs related to the fiscal agent relationship.

Ineligible Organization

Based on your responses to Question 3, you are not an eligible applicant for this funding opportunity.

Organizational Information

4. Briefly describe the applicant organization's mission, programs, and service area:

Max 1,000 characters

5.1 Applicant organization primary street address

Enter the street address where day to day operations take place (example: 1100 Wilson Street).
Do not use PO Box addresses.

5.2 Applicant organization city or town

5.3 Applicant organization state or territory

5.4 Applicant organization primary zip code

6. Is the address listed above the address where this project/program will be delivered?

YesNo

6.1 Street address of the project/program

Enter the street address where program delivery will occur (example: 1100 Wilson Street).
Do not use PO Box addresses.

6.2 Project/program city or town

6.3 Project/program state or territory

6.4 Project/program zip code

7.1 Organization's website

If the organization does not have a website, please enter N/A.

7.2 Organization's social media address (enter social media web address or handle)

If the organization does not have a social media presence, please enter N/A.

Organization's Point of Contact for this Grant Opportunity

8.1 First name:

Max 40 characters

8.2 Last name:

Max 80 characters

8.3 Job title / role with applicant organization:

Example: Executive Director, Board President, Grants Administrator
Max 80 characters

9. Primary Email for applicant point of contact:

This email will be used for all LISC communication during the application process. Please make sure correct address is provided.

10. Primary phone number for applicant point of contact (numbers only - no dashes)

Numerals only

Organizational Profile

11. In what year was the applicant organization formed?

12. Does the applicant organization employ paid staff?

YesNo

12.1 How many full time employees does the applicant organization employ?

Numerals only

12.1.1 What percent of the applicant organization's full time employees are Black, Latino or a person of color?

Numerals only, may not exceed 100

12.2 How many part-time and/or seasonal employees does the applicant organization employ?

Numerals only

12.2.1 What percent of the applicant organization's part-time and/or seasonal employees are Black, Latino or a person of color?

Numerals only, may not exceed 100

12.3. Race/ethnicity of the applicant organization's executive leader (i.e., Executive Director, President/CEO, etc.):

African American/BlackAmerican Indian/Alaska NativeAsianNative Hawaiian/Pacific IslanderHispanic/LatinoWhiteBiracial or MultiracialOtherPrefer not to say

12.3.1 For biracial and multiracial leadership, please check all that apply:

African American/BlackAmerican Indian/Alaska NativeAsianNative Hawaiian/Pacific IslanderHispanic/LatinoWhiteOtherPrefer not to say

12(b). Does the fiscal agent organization employ paid staff?

YesNo

12.1 How many full time employees does the fiscal agent organization employ?

Numerals only

13. What percent of the individuals currently serving on the applicant organization's board of directors are Black, Latino, or persons of color?

Numerals only, may not exceed 100

14. What was the applicant organization's annual revenue for its most recent fiscal year?

Less than $100,000$100,000 to $249,999$250,000 to $499,999$500,000 to $999,999$1,000,000 to $1,999,999$2,000,000 to $4,999,999More than $5,000,000

15. Has the applicant organization previously received funding from the Local Initiatives Support Corporation (local office or national office)?

YesNo

15.1 If yes, please describe:

Example: Name of grant opportunity, use of funding, timing, etc. Max 1,000 characters.

16. Did the applicant organization apply for the LISC/Foot Locker Foundation funding opportunity in 2021, 2022 or 2023?

YesNo

Organization Programming

17. Does the applicant organization provide youth programming?
For the purposes of this program, youth is defined as ages 6 to 24

YesNo

17.1 Please describe the applicant organization's current youth programming:

Max 1,000 characters

17.2 What percent of the applicant organization's budget is directed toward youth programming?

Numerals only, may not exceed 100

17.3 What percent of the youth that participates in the applicant organization's youth programming is Black, Latino, or a person of color?

Numerals only, may not exceed 100

17.4 How would you characterize your organization’s experience in youth-oriented community outreach: Programs designed to engage youth and provide them with health and wellness opportunities; goals may include increasing safety, play equity, equality, and empowerment of youth, including expanding economic opportunity?

Very little experienceSlightly experiencedSomewhat experiencedModerately experiencedExtremely experienced

17.5 How would you characterize your organization’s experience in youth-oriented mentoring: Programs designed to help youth with conflict resolution, life skills, academics, and community building; goals may include building positive, nonviolent, and constructive relationships, increasing the ability to accept and respect diversity of opinions and values in the community, and building trust?

Very little experienceSlightly experiencedSomewhat experiencedModerately experiencedExtremely experienced

17.6 How would you characterize your organization’s experience in youth career development/employability: Programs that develop skills and pathways to quality jobs; goals may include increasing social and work skills, access to internships, and training?

Very little experienceSlightly experiencedSomewhat experiencedModerately experiencedExtremely experienced

18. Does your organization provide volunteer and/or corporate engagement opportunities?

YesNo

18.1 Please describe your organization's volunteer and/or corporate engagement:

Max 1,000 characters

Program/Project Overview

19. Which of the following best describes your anticipated use of grant resources:

Maintain or expand existing youth programmingLaunch a new youth programEngage in capital improvements

20.1 Briefly describe the proposed project/program

Max 1,000 characters

20.1. Anticipated number of youth to be served by project/program in the first year of funding:

Numerals only

20.2 Anticipated number of youth to be served by project/program in the third year of funding:

Numerals only

21. Briefly describe the neighborhood/community within which the project/program will take place (neighborhood boundaries, demographics, income levels, condition of housing stock and public facilities):

Max 1,000 characters

22. Please describe any plans or specific volunteer opportunities for Foot Locker employees associated with the program or project:

Max 1,000 characters

Capital Projects

23. Check each of the following that is applicable to the current status of the proposed project:

Applicant organization owns the facility where the project will occur.Applicant organization has a lease agreement for the facility where the project will occur and is authorized to make capital improvements at that location.All necessary planning and preliminary engineering activities have occurred (i.e., the organization has construction cost estimates and blueprints for the project).All necessary public approvals (e.g., environmental review, zoning approvals, etc.,) have been secured for the project to move forward.Organization has internal capacity, or has an arrangement with a contractor, to provide construction management services for the duration of the capital project.

24. Which of the following best describes the project's readiness from a funding and partnership perspective?

Project plan is in concept development: Substantive planning has yet to occur.Project plan is conceptual: planning efforts are underway, organization is actively seeking funding partners and identifying legal/financial needsProject plan is under preliminary development: planning is underway, organization is actively seeking funding partners, parties are aware of necessary financial and legal commitmentsProject plan is fully developed: planning is complete, at least half of required funding has been committed with sources identified for the remainder, necessary financial and legal commitments have been secured.

25. Which of the following best describes the type of programming to be offered at the facility where grant resources will be used?

Youth-oriented community outreach: Programs designed to engage youth and provide them with health and wellness opportunities; goals may include increasing safety, play equity, equality, and empowerment of youth, including expanding economic opportunityYouth-oriented mentoring: Programs designed to help youth with conflict resolution, life skills, academics, and community building; goals may include building positive, nonviolent, and constructive relationships, increasing the ability to accept and respect diversity of opinions and values in the community, and building trustYouth career development/employability: Programs designed to engage youth and provide them with health and wellness opportunities; goals may include increasing safety, play equity, equality, and empowerment of youth, including expanding economic opportunityOther (see note below)Please do not use the "other" option to indicate that the program will meet multiple objectives listed above. If multiple, choose the one that best describes your program.

25.1 Please describe:

Max 255 characters

26. If funding were received on October 31, 2024, on what date would you anticipate the facility(ies) or facility improvement(s) to be ready for use:

Date Format: MM/DD/YYYY
Response must be on or after October 31, 2024

New Programming

23. Does the applicant organization own the facility where programming will occur?:

YesNo

23.1 If not, does the applicant organization have a lease (or other) or other agreement with the owner of this facility to provide services at this location?:

YesNo

24. Which of the following best describes the program's readiness from a funding and partnership perspective?

Program is in concept development: Substantive planning has yet to occur.Program is conceptual: planning efforts are underway, organization is actively seeking funding partners and identifying legal/financial needsProgram is under preliminary development: planning is underway, organization is actively seeking funding partners, parties are aware of necessary financial and legal commitmentsProgram is fully developed: planning is complete, at least half of required funding has been committed with sources identified for the remainder, necessary financial and legal commitments have been secured.

25. Which of the following best describes the type of program for which funding will be requested?

25.1 Please describe:

Max 255 characters

26. If funding were received on October 31, 2024, on what date would you anticipate the program to be fully operational (or fully expanded if an expansion of a current program):

Date Format: MM/DD/YYYY
Response must be on or after October 31, 2024

Expand/Maintain Programming

23. Which of the following best describes the type of program for which funding will be requested?

23.1 Please describe:

Max 255 characters

24. If awarded, will funding be used to maintain participation at current levels or expand programming?

Maintain existing program(s)Expand existing program(s)

25. How many youth participated in this program in calendar year 2023?

Numerals only, may not exceed 9,999

26. What percent of the youth participating in this program in calendar year 2023 were Black, Latino, or a person of color?

Numerals only, may not exceed 100

Project/Program Funding

27. What is the total anticipated cost of your program or project?

Numerals only
If new program, enter the full cost of program startup and first year of operations.
If program expansion, enter the additional cost of programming relative to current costs.
If maintaining existing programming, enter the program expenses for calendar year 2023.
If project, enter the total cost of the facility improvement(s).

27.1 How is the program currently funded?

28. What percent of the amount listed in response to question 27 is currently committed to the project (i.e., has been encumbered or is otherwise committed - such as through a letter of commitment - to the project)?

Numerals only, response may not exceed 100

29. What percent of the total cost of the program/project has been committed by other entities (e.g., city/county grants, philanthropic support, and/or in-kind support from other organizations - i.e., not from the applicant's resources)?

Numerals only, response may not exceed 100.
Response should not exceed response to question 28.

30. What amount are you requesting from LISC (may not exceed $100,000)?

Numerals only, may not exceed 100000

31. Assuming you receive the entire amount that you are requesting from LISC, what percent of the program/project budget will still need to be raised?

Numerals only, may not exceed 100

32. If program or project is funded, how many years of funding for programming and/or facility sustainability have been committed (i.e., resources encumbered, programmed into long-range budget forecasts, and/or secured through letters of commitment)?

Sustainability funding is still being identifiedOne year of funding is committed for sustainabilityTwo years of funding is committed for sustainabilityThree or more years of funding is committed for sustainability

33. How did you hear about the LISC/Foot Locker Foundation Community Empowerment Program?

Max 255 characters

34. Please provide any additional comments that will help us better understand your program/project.

Max 1,000 characters

Page 6

Required Attachments

Important Note:
The total upload limit per application is 30 MBs. The combined size of all files below must remain below that limit.

35. Cover sheet:
- Name, address, web address, email address(es) and telephone numbers for organization
- Name/contact information for Executive Director and contact person (if different)
- Brief description of proposed project
- Amount of funding requested

36. Organizational Attachments:
Please combine each of the following documents into a single file and attach that file below:
- IRS 501(c)(3) determination letter
- Two most recent audited financial statements (preferably 2022 and 2023)
- Most recent Form-990 (preferably 2022)
- Current list of organization's Board of Directors, including contact information
- IRS W-9 form
- MOU with fiscal agent (if applicable)

37. Project Attachments:
Please combine the following documents into a single file and attach that file below:
- Project budget for programming or facility improvements
- Financial commitment letters and detailed plans from organizations responsible for program sustainability
- Agreements and budgets for youth programming
- Letters of support and joint use agreements with other community organizations
- Contact information for the youth organizations

Thank you for your interest in the LISC/Foot Locker Foundation Community Empowerment Program. We will be unable to process any preliminary applications that do not agree to the terms and conditions.

Thank you for your interest in the LISC/Foot Locker Foundation Community Empowerment Program. Applicants must be a 501(c)(3) tax-exempt organization. Based on your response, you are not an eligible applicant for this funding program.

Final Step: Please review the information below, e-sign and submit your preliminary application:

Thank you for completing your preliminary application. Please click 'Submit' below to complete your submission.

By signing your name and submitting the preliminary application below, you confirm that the information provided about your organization and its plans for this funding opportunity are true in all material respects.

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