Grant Writing Workshop Registration Form

Grant Writing Workshop Registration

Please be as detailed as possible when filling out this form prior to our workshop. This should take you approximately 15-45 minutes to complete.
Full Name*

First NameLast Name
Name of Organization/Business
E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pre-survey

This will be used to gauge your knowledge on grant writing.
YesNo
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Not FamiliarSomewhat FamiliarFamiliarVery Familiar
Not ComfortableSomewhat ComfortableComfortableVery Comfortable
Grant Writing Research

The more details you can provide here, the better off your proposal will be.
When, where, and why was your business/organization created? Give us your origin story.
Nonprofits: How many board members are there and what are their genders and ethnicities? Businesses: If you don't have a board, what does the ownership of your business/organization look like?
How many staff members are there and what are their genders and ethnicities?
What is the mission and vision statement?
Who are your target clients? (Be specific, do you have a customer profile created?)
For nonprofits: What are their main programs to help others? For businesses: What are your products and services?
For Nonprofits: How many people did they serve/impact last year and how many do they hope to serve/impact this year? For Businesses: How many clients did you serve? What was your revenue last year? Did you file taxes? What is your target goals for both clientele and revenue for next year?
Where does your business/organization need financial assistance? What program/thing, why, how much, and for what? (be detailed!)
What will you accomplish if you had enough money to fully fund your program/business? List short term and long term.

Grant Writing Workshop *

1 Seat

$25.00

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Total

$0.00

Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.
PLEASE MAKE SURE TO BRING A LAPTOP & NOTEBOOK TO THE WORKSHOP AS WE WILL BE WRITING A GRANT PROPOSAL IN REAL TIME.
Disclaimer:
Erie’s Black Wall Street (EBWS) does not guarantee that participation in this workshop will result in receiving a grant. All information shared about your business will be kept confidential and may be used for internal EBWS research and grant writing purposes. By registering, you agree to hold EBWS, its staff, and affiliates harmless from any outcomes related to this workshop. Additionally, please note that photographs or videos may be taken during the event for promotional purposes. By attending, you consent to the use of your image in EBWS marketing materials unless you notify us otherwise in writing prior to the event. The $25 registration fee is non-refundable and non-transferable.
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Grant Writing Workshop Registration

Pre-survey

Grant Writing Research