Grant Application

SECTION 1: General Information

1.1 Grant Type (Select One):

Organizational Grant – Change Champions (Up to $6,000)

Individual Youth Grant – Service Advocate Scholar (High School, Up to $1,000)

Individual Youth Grant – Civic Entrepreneur Fellow (College, Up to $2,000)

Application Type:

Organization Name / Full Name:

Contact Person / Age:

Phone Number:

Email Address:

Website / School/University:

Year Founded / Grade/Year:

Organization Type:

Mailing Address:

Project Title:

Estimated Start Date:

Estimated End Date:

Total Amount Requested:

Project Summary (250 words max):

Provide a concise description of your proposed project, including its purpose, goals, and intended outcomes.

4.1 Problem/Need Statement:

What community need does your project address?

4.2 Project Goals & Activities:

List 2–3 main goals and describe what activities will be undertaken to achieve them.

4.3 Timeline & Key Milestones:

Provide a simple timeline with target dates.

(For Organizational "Change Champions" Pathway Only)

Youth Involvement:

How will youth (up to age 21) be involved in service or leadership roles within this project?

Leadership Opportunities:

Describe the leadership opportunities and responsibilities available to youth participants.

Partner Organizations:

List 1–5 potential or confirmed nonprofit/community partners and their organization names.

Type of Support:

Type of Support (mentorship, collaboration, resources, etc.)

Partnership Description:

Describe how your project will work with these partners. If no partnerships are possible, explain why this project is uniquely independent.