CoSHI Mini-Grant Interest Form
County and Agency
(i.e. Denver County Department of Human Services)
Primary Contact Name
Primary Contact Phone Number
Primary Contact E-mail Address
Do you have an idea for how you would use this mini-grant?
Who will be your target audience?
Youth in systems of care
Youth experiencing homelessness or at risk of experiencing homelessness
Youth involved in human trafficking, at risk of, or survivors of human trafficking
Youth with increased risks of unplanned pregnancy, STIs or HIV
What services would you like to offer?
Not sure yet
Is there anything else you would like us to know?
Should be Empty: