Givers Gain Grant Form

1

Contact Name* This field is required.

First Name

Last Name

2

E-mail* This field is required.

example@example.com

3

Phone Number (Please add country code if needed)* This field is required.

Area Code

Phone Number

4

Country* This field is required.

5

Website

6

Tax ID Number, if applicable

7

Project Name* This field is required.

8

Amount applying for? (Maximum of $1000)* This field is required.

9

The age and grade of the students.* This field is required.

10

Details of how the grant will be used.* This field is required.

11

Project goal and how will you measure it?* This field is required.

12

The number of students who will benefit. * This field is required.

13

Do you have a contact person in BNI, a Business Voices Team or local BNI chapter supporting you, your organization, or school?* This field is required.

14

Who is the contact associated with BNI, please include a contact number?

15

How is BNI or the Business Voices Team supporting your school or organization?

16

Are you able to send us follow up information including pictures and permission to use it on social media?

Yes

No