Fiscal Sponsorship Form

First Name

Last Name

Project or Community Name

Best Daytime Phone Number

City

State

Country

Why do you want ALEPH as your Fiscal Sponsor?

How are you connected to ALEPH and or Jewish Renewal?

Mission Statement

Project Summary

Projected Funding

Projected Expenses

References

How did you hear about the ALEPH Fiscal Sponsorship Program?

Is there any additional information you would like to add

Have you ever been investigated by an ethics body with authority over you in your spiritual leadership role or over an organization you serve(d) in a spiritual capacity?

Yes No

Have you ever been convicted of a felony?

Yes No

Affirmation

I affirm that my answers to this application are truthful.