Grassroots Giving Request Form
All Out's Grassroots Giving programme connects All Out’s global membership to LGBT grassroots groups around the world. Through this programme, thousands of All Out members make small donations to collectively fund projects for groups working to end inequality, discrimination, and injustices against LGBT people, or otherwise help local LGBT communities.

Grassroots organisations can use this form to apply for funding ranging from US$5,000 to US$15,000 for a specific project. This programme is not appropriate for requests to cover overhead or administrative costs. The funds will be raised from All Out's online membership through an email-based fundraising campaign.

We understand that not all organisations will be able to answer every question in the form or provide all the requested documentation. However, the more information you are able to provide, the easier and quicker the review process will be.

PLEASE NOTE: This form will not automatically save your answers. It may be useful to prepare your answers in a separate document and complete the application form by copying and pasting your answers in.

If you are not fluent in English, please feel free to complete the form in your native language.

For any questions, please email grassrootsgiving@allout.org.

Organisational Information
Please tell us about your organisation.
Organisation name *
Your answer
Organisation website
Your answer
Organisation mailing address
Your answer
Organisation phone number
Your answer
Contact person #1: Name *
Your answer
Contact person #1: Role or title *
Your answer
Contact person #1: Email address *
Your answer
Contact person #2: Name
Your answer
Contact person #2: Role or title
Your answer
Contact person #2: Email address
Your answer
Have you worked with All Out before? If yes, please briefly explain the campaign or project. *
Your answer
Project Proposal
Please answer the following questions to tell us about the project this would fund.
What is the project you are requesting funding for? *
Your answer
How will this project positively impact the safety, rights, or dignity of LGBT people? *
Your answer
What problem will this project help solve or address? *
Your answer
Briefly explain how you or your colleagues will be able to complete this project with the requested funds. *
Your answer
When do you need the funding? Are there any other relevant deadlines around the project? *
Your answer
What is the amount you are requesting? (Funding ranges from US$7,000 to US$15,000) *
Your answer
What is your preferred method for receiving funds, so that we may plan accordingly?
References
Please provide name and contact information (preferably email address) for the following, who we may contact as references for your organisation.
Foundations or major donors that have provided funding for your organisation
Your answer
Organisational board chair (or other board members)
Your answer
Current or past beneficiaries of your organisation's work
Your answer
At least two other organisations who work in your region
Your answer
Requested Documentation
Please email the following documents to grassrootsgiving@allout.org, using the email subject line "Grassroots Giving Application" and indicating the organisation name in your email:

• Itemized project budget (this is required in order for the application to be considered)
• Current fiscal year budget for the organisation
• Copy of a recent bank statement or bank letter
• Copy of certificate of incorporation as an NGO / CSO

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