Youth Social Innovation Capital Fund Loan Application: Stage 1
Thank you for your interest in receiving financing and support from YSI.  Please complete all sections of this application.

Note that the online application cannot be saved in progress.  If you close your browser or navigate away from this page before submitting, all entries will be lost.  It is advised to save your longer answers in an offline application, such as Microsoft Word, to prevent losing work.

If you prefer, we also offer an application form in .docx format at http://www.youthsocialinnovation.org/for-si/apply-now/.  Submit completed offline applications to applications@youthsocialinnovation.org.
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General Information
We need to gather some general information about you and your social enterprise.
Organization name: *
City of organization's location: *
Project name (if applicable):
List the names and ages of people on your core team: *
We provide loans up to $50,000.  What amount are you seeking? *
How did you hear about the Youth Social Innovation Capital Fund? *
If you selected 'Other' in the previous question, please explain:
Contact Information
Let us know how we can get in touch with you and your team.
Main contact's name: *
Email address: *
Phone number: *
Address: *
Organization's website:
About Your Venture
Tell us a little bit about your social enterprise.
In a single sentence, describe the venture and its product(s) and/or service(s): *
Explain the value proposition of your venture: *
We invest in organizations that have a social and/or environmental mandate at the core of their activities.  In one sentence, what is your social and/or environmental mandate? *
Explain how you create social and/or environmental value: *
Explain how the loan will be used: *
You're Done!
Thank you for completing this application form.

Your application will be passed onto our review committee, and we will contact you within two weeks to inform you about whether or not you qualify for the second stage of the loan application process.
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