Queer InspirAsian Giving Circle 2017 Application
The Queer InspirAsian Giving Circle is a newly formed giving circle whose mission is: To inspire and uplift the Queer Southeast Asian/Asian Pacific Islander community through investments in leadership, resilience and healing.

Application Deadline: May 1, 2017

Please read the full guidelines BEFORE completing this application here: http://tinyurl.com/QueerInspirAsian

We recommend completing short answer questions in a Word document and spell-checking it before entering it here, as you cannot save or spell-check on this form.

For Questions contact QueerInspirAsian@gmail.com

If applying as Organization: Name of Organization
Your answer
If applying as Organization: Name of Point of Contact
Your answer
If applying as Individual: First & Last Legal Name
Your answer
Preferred Name
Your answer
Preferred Gender Pronouns
Your answer
Gender Identity
Your answer
Sexual Orientation
Your answer
Ethnic Identity
Your answer
Age
Your answer
Date of Birth
MM
/
DD
/
YYYY
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Phone Number
Your answer
Email
Your answer
Website (if applicable)
Your answer
How did you hear about this opportunity?
Your answer
How much money are you requesting? (Min: $250; Max: $1,000)
Your answer
How will the funds support you/your org?
Required
If applying to fund a project, how will the project inspire and uplift the QSEA community? (no more than 250 words)
Your answer
If applying to fund your education, once your education is complete, how will YOU inspire and uplift the QSEA community? (no more than 250 words)
Your answer
If applying for leadership development or professional development, how will this opportunity allow you to better inspire and uplift the QSEA community? (no more than 250 words)
Your answer
Individuals only: Tell us about a hardship or challenge you have overcome. How did you get through this? What lessons did you learn as a result? (no more than 250 words)
Your answer
Individuals only: What parts of your story or aspects of your life are important for us to know as we consider your application? (no more than 250 words)
Your answer
Organizations only: What is your org mission and vision?
Your answer
Organizations only: Who does your org serve and what is your approach to your work? (no more than 250 words)
Your answer
ALL: What makes you joyful or hopeful when you think about the QSEA community? (no more than 250 words)
Your answer
How will you define if the project/opportunity was a success?
Your answer
How will you document the progress and success of your use of the funds?
Your answer
Do you have additional funding to support this project/opportunity?
If Yes, please list additional funders. If No, please discuss what you will do if not funded.
Your answer
Anything else we should know or that you would like to share with us?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms