* indicates required About You Name * Email * About Your Work Name of Project or Initiative* Website of Project or Initiative Please give a general overview of the project/initiative, with a focus on the theory of change. What change does your project seek to bring about in the world? How, and with whom? Please include detail about the type of work/interventions, e.g. research, advocacy, policy.* Superbloom’s mission is to change who technology serves. We believe technology design is integral to the open source movement and should be leveraged to affect societal change. How does your project align with this mission?* What are the 3-5 goals for your program? For example, grow team to #X of staff members to facilitate ABC program initiative; build partnerships with XYZ organizations; fundraise $Y to support ABC program initiative.* Governance Please tell us about your current governance structure – do you have an advisory board? How are decisions made? Please share any information you have, including names, responsibilities, and relationship with the project.* Please tell us about your team – roles, responsibilities, names, and location. How many are volunteers? How many are being paid?* Do you have a legal entity related to this project?* Yes No About Your Fiscal Sponsorship Search Are you working to a deadline to find a Fiscal Host? If so, what is your deadline? * Are you talking to other possible Fiscal Hosts?* Do you have existing funding? If yes, please supply details or a link to any information as applicable.* Is there anything else you'd like us to know about your work, your team, or your immediate needs?
