IFF Flex Loan Interest Form

Organization Name (Legal Borrowing Entity)*

Contact Name*

Email*

Phone*

Phone

Sector*

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State*

Select

Service Area

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Website*

Loan Request Amount*

(Maximum loan amount - $50,000)

Loan Purpose*

*REQUIRED* Documents*

Latest Fiscal Year-End Completed (P&L and Balance Sheet)
Latest Interim Month-End (P&L and Balance Sheet)
Board Approved Budget
501(c)(3) Letter
Articles of Incorporation
Recent Newsletters, Articles, Press Releases, etc. highlighting work of organization

Drag and drop files here or

Organization Demographics

IFF VISION STATEMENT: Partnering to create thriving communities is at the heart of everything we do. We leverage knowledge, capital, and resources to advance equitable and transformational outcomes in under-resourced communities, guided by our commitment to be an inclusive, anti-racist and anti-oppressive institution that honors communities as asset-rich and as experts in their own stories.

To hold ourselves accountable to our vision statement and best reflect and report on the impact and accessibility of our lending program, we believe it is important to know the demographic composition of our clients. If you are comfortable, we request that you share the following

race/ethnicity data about your organization.

Please note that responses (or lack of response) will have no bearing on the decisioning of your application and that we will not share individual responses in any way.

The Leader of Organization identifies as:*

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Number of Board Members Currently*

The majority of Board of Directors identify as:*

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% of Board Members who identify as American Indian or Alaskan Native:*

% of Board Members who identify as Asian:*

% of Board Members who identify as Black or African American*

% of Board Members who identify as Hispanic or Latinx:*

% of Board Members who identify as Middle East or North African descent:*

% of Board Members who identify as Multiracial:*

% of Board Members who identify as Native Hawaiian or Other Pacific Islander:*

% of Board Members who identify as White:*

Number of Staff Members Currently:*

The majority of the staff identifies as:*

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% of Staff Members who identify as American Indian or Alaskan Native:*

% of Staff Members who identify as Asian:*

% of Staff Members who identify as Black or African-American:*

% of Staff Members who identify as Hispanic or Latinx:*

% of Staff Members who identify as Middle East or North African descent:*

% of Staff Members who identify as Multi-racial:*

% of Staff Members who identify as Native Hawaiian or Other Pacific Islander:*

% of Staff Members who identify as White:*

% of Clients served considered low-income:*

% of Clients living with disabilities:*

% of Clients that identify as American Indian or Alaskan Native:*

% of Clients who identify as Asian:*

% of Clients who identify as Black or African-American:*

% of Clients who identify as Hispanic or Latinx:*

% of Clients who identify as Middle East or North African descent:*

% of Clients who identify as Multiracial:*

% of Clients who identify as Native Hawaiian or Other Pacific Islander:*

% of Clients who identify as Other:*

% of Clients who identify as White:*

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