Young Changemakers Grant

Young Changemakers Grant

As a youth-led program, the main applicant for this project must be between the ages of 12 and 30 years. Teachers, advisors, or other adults who are involved in this project should list their information in the next section. If the applicant is under 18 years of age, a parent or guardian's signature is required on this application. This grant has a maximum allocation of $1,000 USD.
Applicant Name*

First NameLast Name
Applicant Email*
example@example.com
Applicant Phone Number*
Please enter a valid phone number.
Applicant Birthdate*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Sponsoring Organization and Advisor

If you are working with your school or any other organization (youth group, sports team, etc), please list them in this section. You may also list a teacher, advisor, or parent who you want to receive updates about your project.
School or Organization Name
School or Organization Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Teacher or Advisor Name

First NameLast Name
Teacher or Advisor Email
example@example.com
Teacher or Advisor Title
(relationship to applicant)

Project Information

Tell us a little about your project!
Project Title*
Location of Project*

Street Address

Street Address Line 2

Town/CityState / Province

Postal / Zip CodeCountry
Project Description: Describe how your project will be implemented, what will be accomplished, and what the outcome(s) will be.*
How many people will be impacted by your project? *
Describe the prioritized groups to benefit from your project. Children? Women? Elderly? We encourage you to learn about the problems and goals of the community and develop an intervention for addressing them with the proposed funding. Good practice calls for the full involvement of the community in all aspects of this work.
What is your connection to this project? What is your connection to the community that will be impacted by this project?
Microgrant Amount Requested*
Create A Budget

Create and upload a budget to list the items or expenses of your project. Do your best to estimate costs; this budget can be changed later and does not have to exactly match the total amount requested above.
Project Budget *

Cancelof
Project Timeline: When do you plan to implement your project? How long do you estimate it will take to complete this project?

Evaluation Plan
What will be the impact of your project on the community and specifically on women and children? What will it change for the community, and how will it make it better?
How does the community, particularly women, children and families, define success for this project? Please list their three most important success indicators. Describe how each of these indicators will be measured and by whom.
What are your sustainability strategies for this project? Five years from now, what will remain, who will be responsible for what remains, and what ongoing costs do you foresee?

Parent or Guardian Signature
Parent or Guardian Name*

First NameLast Name
Relationship to Applicant*
Parent or Guardian Email*
example@example.com
By signing below, I permit my child to participate in Luena Foundation's Unicorn Crew Microgrant Program under the terms and conditions set forth in this application. I hereby certify that all of the information listed in this application and/or any attachments to this application is true and correct to the best of my knowledge. I acknowledge that all funds my child receives must be used for purposes of fulfilling the goals of the microgrant program. I agree that my child will submit project photos, progress, and budget reports as requested by Luena Foundation after the grant is received. I understand the failure to do so could result in becoming ineligible for future microgrants. I agree that my child will participate in a post-project interview.
Parent or Guardian Signature

Clear

Finalize and Submit

Finalize and submit your grant application
How did you hear about the Luena Foundation Unicorn Crew Microgrant Program?*
I understand that Luena Foundation does not fund efforts to support or oppose candidates for public office. We do not fund evangelism or proselytizing, or programs that require adherence and/or conversion to religious doctrine. We do not in any way fund organizations that discriminate on the basis of race, ethnicity, religion, gender, gender identity, disability, or sexual orientation; or groups that support violent activities or violate criminal law.*

I agree
Guidelines

By signing below, I am submitting my application to participate in the Luena Foundation Unicorn Crew Microgrant Program under the terms and conditions set forth in this application. I hereby certify that all of the information listed in this application and/or any attachments to this application is true and correct to the best of my knowledge. I acknowledge that all funds received must be used for purposes of fulfilling the goals of the microgrant program. I agree that I will submit project photos, progress, and budget reports as requested by Luena Foundation after the grant is received. I understand the failure to do so could result in becoming ineligible for future microgrants. I agree I will participate in a post-project interview.
Applicant Signature*

Clear
Please verify that you are human*
Should be Empty:

Sponsoring Organization and Advisor