UA - Founders Grant - Application

Your Name* This field is required.What is your name?

First Name

Last Name

Your Title/Role* This field is required.What is your title/role within the organization?

Organization Name* This field is required.What is the name of your organization?

What is Your Physical Address?* This field is required.What is the physical address of your organization?

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

What is Your Website URL?What is the web address of your organization?

What is Your Email Address ?* This field is required.What is your primary email address? Please double check the accuracy of your email address.

example@example.com

Confirm Email

Organization Type?* This field is required.

Church

Nonprofit

Social Enterprise

For Profit

In which area(s) does you organization provide programs or services?* This field is required.Please check all that apply.

At -Risk Youth

Alcoholism

Single Parents

Teenage Boys

Military Families

Christianity

Minority Men

Mentoring Programs

Community & Economic Development

Minority Women

Sports & Recreation

College Scholarships

Civic Engagement

Legal Defense

Returning Citizens

African American History

What does your organization do? * This field is required.Please be clear and concise. Your answer can not exceed 500 words.

0/500

If awarded, how would you use the funds?* This field is required.Please be clear and concise. Your answer can not exceed 500 words.

0/500

How did you hear about this mini grant opportunity?* This field is required.Please check all that apply.

ABC

CBS

FOX

NBC

Facebook

Friend

Tracy J. Brown

Other

You understand that the mini grant application deadline is the last day of every quarter. Grant recipients and awards will be announced 8 weeks following the deadline.* This field is required.

Yes, I understand and agree.

You understand that all award notifications for this mini grant will be posted inside Urban Awareness USA's private Facebook Group. Upon completion and submission of your application today, you will be asked to join this private group.* This field is required.

Yes, I understand and agree.

You understand that if you are awarded funding, Urban Awareness USA will need additional documents on file prior to disbursement of funds. If awarded, you will have 10 business days to respond to the grant notification and document request. If you fail to respond, your award will be rescinded and issued to another organization.* This field is required.

Yes, I understand and agree.

You will now be redirected to a confirmation page where you will be prompted to join the private Facebook group and signup for email notifications. You understand that due to the number of applications received, Urban Awareness USA will not be able to provide telephone or email support for this mini grant application.* This field is required.

Yes, I understand.

UA - Founders Grant - Application