Form
DIF x Tech
Grant and fellowship application form
Applicant contact information
Contact details and name for the person filling out this form.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Narrative questions
Narrative questions for organization and fellow applications
About the project
1. Please briefly describe your project in 150 words or less
*
0/150
2. What is the problem you are trying to solve? (150 words or less)
*
0/150
3. Please share more about how your work is addressing disability justice, tech, and inclusion from an intersectional social justice lens.
*
About the organization
4. Describe how your organization is disability-led (see FAQ below for definition)
5. In what ways does your organization currently address disability justice and technology?
6. How will you use this grant’s funds to build out your organization’s infrastructure and operating capacity?
About the project’s impact
7. How does your project include or collaborate with those who are most marginalized or impacted?
8. Who will the project benefit?
9. What are key program plans and activities for this next year? And how do you measure the impact and success of that work?
10. Is there anything else you would like us to know?
Organizational information
What is the mission statement of the organization you are working with?
What is its Organizational Status - for example, a 501c3, or is it fiscally sponsored by a different non-profit organization?
List Staff and Board Demographics for the organization.
Financial information
Grant amount requested? Fellows can request up to $70,000 a year. Organizations can request from $50,000 - $100,000 a year.
*
Organizational budget: Please supply your organization’s current or previous fiscal year budget.
What are your organization’s other funders?
Additional narrative questions for fellows
No more than 1200 words total for this section, please
What do you hope to accomplish? This is an open ended question. You can use this space to describe the project, or your vision and values, or your career goals, over the first year, and over the course of 3 years. You can address one or more than one of the examples, or something else we didn't think of that you feel is relevant.
0/1200
How will this fellowship further your current work?
How can the DIFxTech organization best support you in these goals?
If you need to upload supporting files, you can do that here!
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Save
Submit
Should be Empty: