SWOP-USA Mini-Grant Request Form - 2018
This is an application for a mini grant for December 17 events ONLY. Deadlines, amount of funding available, and other info can be found on the Chapter Hub site. If you need any assistance completing this form, please email jacqui@swopusa.org.
Email address *
Are you applying as a SWOP Chapter? *
Which SWOP Chapter are you applying for? If you are not applying via a Chapter, please indicate what group you are with. *
Your answer
What is your preferred name? *
Your answer
What is your email address? *
Your answer
What is a phone number at which we can reach you? *
Your answer
What type of December 17 event or project will you be undertaking? *
You may check more than one box
Required
Have you secured a venue? If YES - what is it? Specify in "other" *
Please tell us more about your request: *
Tell us about your December 17 Event or Project: Who is the lead organization? Who else is involved in planning? What are the activities planned? Where and when is the program or project?
Your answer
How many people do expect to attend, participate, or take an action? *
Please estimate the number of people you anticipate will attend.
Your answer
What is the audience that will be reached? *
For example, 'broader sex worker community," "people engaged in street-level sex trade," "policy makers," or "nonprofit service providers and allies."
Your answer
Please itemize your funding request expenses: *
Receipts are needed for reimbursements and mini-grants. List each item by type and a realistic amount needed for each item. If you need assistance preparing a budget please email jacqui@swopusa.org.
Your answer
What is the TOTAL dollar amount of your funding request? *
Add your itemized list from the question above and write the total below.
Your answer
Please place your order now for the following additional December 17 promotional items *
Required
Please tell us where we can send a prepacked shipment of your order. Please include, name, address, city, State and ZIP CODE. *
Your answer
Please select one of the following Gift Cards to pay for food. *
Would you like a gift card for Lyft Credits to help sex workers get to your event? *
Where else are you receiving/requesting funding or support from? *
Your answer
Have you registered your event on www.december17.org?
Please add the links to your event from Eventbrite, Facebook, Twitter, Instagram, Tumblr and any other social media you may be using. *
Your answer
Is there any support SWOPUSA can provide for you to access a venue such as proof of 501c3, letter stating chapter in good standing, venue required insurance documents?
Please add links to your website. *
Your answer
How can you receive funds? *
Please indicate all options that work for you. You will be asked to confirm preferred method if funding is approved.
Required
Do you agree to report back on use of SWOP-USA funds and provide receipts? We will send you a link to our report back application after you mini-grant application is approved. *
A copy of your responses will be emailed to the address you provided.
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