Freedom Warrior Grant Application

Freedom Warrior Grant Application
Organization Information
Organization Name
Primary Contact Name

First NameLast Name
Title
Email
example@example.com
Phone Number
Please enter a valid phone number.
Website (if applicable)
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
501(c)(3) Status

YesNo
If yes, please provide EIN
Mission and Impact
What is your organization's mission statement?
How does your organization address human trafficking and sexual exploitation?
Which of the following areas does your work focus on? (Select all that apply)

RescueHealing & Survivor SupportPrevention EducationOther
Briefly describe your organization’s programs and impact.
How many individuals have you served in the past year?
Grant Request
Amount Requested (Up to $5,000)
How will these funds be used? (Be specific about programs, initiatives, or operational needs.)
Describe how this funding will help further the fight against human trafficking and exploitation.
What measurable outcomes do you expect to achieve with this grant?
Do you collaborate with other organizations in this fight? If so, how?
Additional Information
What is your organization’s greatest funding need right now?
Please provide a brief success story or impact statement from your work.
Is there any other information you would like us to consider?
Optional video to submit (accepts mp4, mov, mp3, wma, mpg, flv, avi)

Cancelof
1.        I certify that the information submitted is true and complete to the best of my knowledge. I understand that misrepresentation may result in disqualification or repayment of funds.

2.        Applicant is a tax‑exempt organization in good standing under Section 501(c)(3) of the U.S. Internal Revenue Code (or foreign equivalent) and will immediately notify Freedom Warriors of any change in status.

3.        Grant funds will be used solely for the project described herein and in accordance with all applicable laws. Grantee agrees to submit interim and final narrative and financial reports as specified by Freedom Warriors.

4.        Applicant and its principals are not listed on any U.S. or international sanctions or terrorism‑financing watch lists and will not use grant funds for prohibited purposes.

5.        Applicant maintains policies to prevent trafficking, exploitation, or abuse and will promptly report any incident to Freedom Warriors.

6.        Applicant does not discriminate on the basis of race, color, religion, gender, sexual orientation, national origin, age, or disability.

7.        Grant funds will not be used for lobbying, political campaign activities, or voter‑registration drives.

8.        Freedom Warriors may request financial records, conduct site visits, or audit project accounts to verify compliance.

9.        Freedom Warriors may reference the grant and Applicant’s name, logo, and non‑confidential project details in its communications, unless Applicant opts out in writing.

10.   Applicant agrees to indemnify and hold harmless Freedom Warriors from any claims arising out of Applicant’s acts or omissions.

11.   Personal data collected will be used solely for grant administration, compliance, and impact reporting, in accordance with our Privacy Policy.

12.   Submission of an application does not guarantee funding. Freedom Warriors reserves the right to accept or reject any application at its sole discretion.

13.   Any disputes arising under this application shall be governed by the laws of the State of ARIZONA without regard to its conflict of laws principles.
“I , hereby attest that this information is true, accurate and complete to the best of my knowledge and I understand that any falsification, omission, or concealment of material fact may subject me to administrative, civil, or criminal liability.

Organization Representative First Name   Last Name
Date:   Date
Signature:   Signature
Should be Empty:

Freedom Warrior Grant Application

Organization Information

Mission and Impact

Grant Request

Additional Information