Cocovibe Student Grants

Cocovibe Grant Application Form

Please complete this application form to apply for the Cocovibe Grant Program. All sections are required unless otherwise specified.
Email Address*
example@example.com
Give Your Personal Program a Name*
Tell us about your vision/idea to help a person, group or place. (min. 25 words)*

0/300
Describe in more detail the “wrong” you are committed to “right.”*

0/300
How do you envision your program working and what is your plan to put it in place?*

0/300
Tell us how you plan to use the $1,000.*

0/200
In a single sentence, tell us the positive change that you will have created after your program is out in the world.*
When would you be able to start your program?*

0/50
If there is anything else you would like us to know about your vision/idea or personal program, provide it below. (optional)

0/300
If there are any photos, videos, documents or online content you would like to include related to your vision/idea, program or plan, you may provide them below. Supporting materials are not required to submit your application.

Material may be supplied as follows:1. Please do not upload any further written material. The written component of your application should be fully explained withinthe Program Description tab.2. Maximum file size is 10 MB per piece.3. The following file types will be accepted: csv, doc, docx, pdf, ppt, pptx, xls, xlsx, jpg, jpeg, png, mp3, wav, mov, mp4, mpeg,mpeg4, mpg, zip.
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Select your current age.*
First and Last Name.*
Confirm your proper first and last name registered at your school.
Preferred Pronoun*
Select the type of school you are currently enrolled in.*
If you have graduated from one school type and entering another, please enter the school type you will be entering.
Provide the full proper name of your school.*
Submit the proper name of your school in long form. Avoid any abbreviations, nicknames or letters that represent other names. For example: ‘Riverside’ or ‘UC Riverside’ would not be a proper submission for the full name ‘University of California Riverside.’ If you selected ‘Home School,’ please type ‘Home School’ here.
Enter the town in which your school is located.*
If your school has no physical campus and offers online education only OR you have selected ‘Home School,’ please type ‘N/A’ here.
Please select the state in which your school is located.*
If your school has no physical campus and offers online education only OR you have selected ‘Home School,’ please select ‘N/A.’
Select your home state of residence.*
Provide the name of a reference, and your relationship with them.*
A reference should be a teacher, coach, counselor, mentor, current or past employer, religious leader, or community leader that knows you. We may choose to contact references later in the Cocovibe Grant consideration process. We will reach out to you before we speak with any reference.
Provide the name of a second reference, and your relationship with them. (optional)
Fountain at your schoolAnother student told youSign at your schoolEmail from your schoolYour school websiteInstagramTwitterFacebookVSCOArticle or blogCommunity eventSchool newsletterTeacher recommendationParent or guardianOther
By checking this box, you confirm that you have reviewed and agree to the Cocovibe Grant Program Terms and Conditions.
“We would appreciate it if you would share the Cocovibe Grant Program with your social communities. The more positive energy we can share with the world, the better our world will be for all.”
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Cocovibe Grant Application Form