Youth Philanthropy Contest Form
Submission deadline:  February 1st, 2014
Contact Information:  Youth Philanthropy Contest
                                       PO Box 714, Norfolk, NE 68702-0714
                                       Tammy Day, 402-379-7322
                                       info@youthcontest.org
                                       www.philanthropycouncine.org
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Project Name: *
Name of Individual or Group: *
Main Contact Person: *
Mailing Address: *
City, State, Zip: *
Home Phone: *
Cell Phone:
Email address: *
Age Group: *
If a group has mixed ages, the age group will be determined by the age of the oldest youth participating.
How many people are in your project group? *
Please list the names/ages of each group member below.   *
A signed media release form is required for each.
If your project benefits a community organization or group, you must have permission from that group to complete your project BEFORE you turn in this application.  If this applies to you, who did you speak to and please provide the date.
Contest winners will be announced and participation is required at an event held at the Lifelong Learning Center on Saturday, February 1st.  Family members are invited to join us. *
How many people will attend on February 1st?
All contest participants are required to display their projects at the Celebrate Giving event to be held at Divots the evening of Saturday, February 15th.  Additional funding for projects not selected as contest winners may be available at this event. *
Please list the items included in your display.   If you have a video to submit, please include the link.  (Please see contest guidelines for more detailed information about video submission.)
Applicant's signature: *
Parent/Guardian or Sponsor Signature (required if participant is 18 years of age or younger) *
This electronic signature portion of your application must be completed by a parent, guardian or sponsor who is 19 years of age or older.  By clicking on the "I Accept" button, you are signing this Media Release electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Media Release. By selecting "I Accept" you consent to be legally bound by this Media Release’s terms and conditions.
Required
Please provide a brief description of your project and how it meets the qualifications for the contest.   *
Here are the qualifications:  1) Have a positive impact on the community 2)  Can be completed within 9 months  3)  Take place in one of these seven counties - Boone, Madison, Wayne, Stanton, Platte, Pierce, Antelope  4)  Are charitable in nature (which means it must focus on serving the public interest or common good)  5)  Engage young people in philanthropy
WHO will this project serve and how will they benefit from it? *
WHAT impact will this have on your community? *
HOW are you going to do it?  Please explain the goals of your project and how you will meet them. *
WHO is going to help you make it happen? *
Why do you think your project should receive funding? *
Project Expenses *
How are you going to spend the $1000?  Determining the actual expenses ahead of time will make your project flow much more smoothly.  Please detail all expenses related to your project.
Total Amount Needed for this Project: *
If your project exceeds the $1000 contest award, how will you cover the costs?
In-Kind/Donations
What other support do you expect for your project?  Include Item Description and Approximate Value
What do I do with my contest application and display once they are done?
Projects can be dropped off at the Lifelong Learning Center in Norfolk on the campus of Northeast Community College, 801 East Benjamin Ave, during the times below.  When you drop off your projects, a committee member will check through all your paperwork and then escort you to a table where you can set up your project display for judging.  The Selection Committee will review projects that Saturday from noon to 3pm, during which time they will select the contest winners.
Project Application Checklist
Before you turn in your project, please be sure to review all of the following:
Please include a one sentence description of your project: *
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