BVB Application Form

BVB Application Form

Please complete all fields
Personal Information

(Lines 1-6)
1. Full Name*

First NameLast Name
2. Date of Birth:*

MonthDayYear
Date
3. Email*
example@example.com
4. Phone Number*
5. Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
6. Are you applying as an individual or on behalf of an organization? (Select one)*
Organization Name and Website (If Applicable)

Organization NameOrganization Website
Background & Goals

(Lines 7-9)
7. Tell us about yourself or your organization. (250 words max)*

0/250
8. What inspires you to apply for support from the BVB Foundation? (250 words max).*

0/250
9. What impact do you hope to make with this opportunity? (250 words max)*

0/250
Project or Initiative Details

(Lines 10-12)
10. Describe the project, initiative, or goal you are seeking support for. (Include purpose, timeline, and how it aligns with BVB Foundation’s mission.)*
11. Who will benefit from this project, and how?*
12. What specific resources or assistance are you requesting from the BVB Foundation? (Financial, mentorship, networking, etc.)*
Video Submission (Required)

Upload a 2-3 minute video explaining 1. Your story or mission, 2. Why you are passionate about this opportunity and 3. The impact you hope to create.
Video Upload Instructions: Please upload your video to Google Drive, YouTube (Unlisted), or Dropbox and provide the link (video URL) below:
Additional Information

(Lines 13-15)
13. Have you previously applied to the BVB Foundation?*

YesNo
14. Do you have any other supporting documents to share? (If applicable add link or upload files):
Cancelof
15. Is there anything else you’d like us to know?
Acknowledgment & Agreement
Please acknowledge the following*

I certify that the information provided is accurate and complete.I give permission for the BVB Foundation to use my application materials for evaluation and promotional purposes.
Signature*

Clear
Date*

MonthDayYear
Please allow seven days for a response after application review.

We look forward to working with you.
3391 Main Street, College, Park, GA 30337 | (510) 858-6456 | info@bvbfoundation.org
Should be Empty:

BVB Application Form

Personal Information

Background & Goals

Project or Initiative Details

Video Submission (Required)

Additional Information

Acknowledgment & Agreement