Gamechanger Innovation Grant Report Form

Gamechanger Innovation Grant Report Form
Mazel tov on your Gamechanger Innovation Grant program! We can't wait to hear how it went.

Please submit this form within one week of holding your program. We will not send the funding to you until you have submitted this form. Feel free to reach out if you have questions.

Ruthie Price & Ben Talesnik

4th International Gizborim
Who's filling this out?
Name *

First Name Last Name
Email *
example@example.com
Cell Phone Number *

Country Code Area Code Phone Number
Community *
Chapter *
Your Staff

Please input your community staff member(s) email address. If you have more than one, please input the other staff members into boxes two and three. Please input your chapter advisor into the last box.
Staff email address (1) *
example@example.com
Staff email address (2)
example@example.com
Staff email address (3)
example@example.com
Advisor email address
example@example.com

Your Gamechanger Innovation Grant Program

We can't wait to hear all about it!
Title of Program *
If you remember, please use the same title you used when you applied for your Gamechanger Innovation Grant!
Total number of BBYO Members in attendance *
Total number of BBYO Prospects in attendance *
Prospects are typically defined as teens who have either not paid their membership dues yet (North America) or have not been inducted into the chapter/are not listed on the chapter roster yet (outside North America).
Total number of teens engaged
Amount of money spent (in USD) *
Please attach your receipts *

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We'll only grant you for whichever is less: the amount you spent OR the amount that you received in your allocations email (e.g. if your grant was for $400 and you only spent $360, we'll only transfer $360 to your community. If your grant was for $400 and you spent $450, we'll only transfer $400 to your community.) Cancel of
Screenshot of a social media post from the event *

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Cancel of
Photos from the event *

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Feel free to upload as many as you'd like. Cancel of
Photo #2 from the event

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Cancel of
Photo #3 from the event

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Cancel of
Impact Statement *
What was the impact of the Gamechanger funding to the experience? How did it help to elevate the program and what specifically was it used for?
Anything else you want to tell us?
Should be Empty:

Who's filling this out?