Black Art Mom Fund Application
Please complete the application for a $100 micro grant to support Black femme art moms/ primary caregivers of dependents. We have the capability to disseminate 10 grants at this time. 
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Email *
What is your name? *
Do  you self identify as Black and femme? *
Are you currently parenting or a primary caregiver of a dependent? *
What city do you live in? *
What is your primary source of income? *
How will these funds support you and/or your art practice? *
How can other Black art moms support you? *
Are you willing to provide support to other Black Art Moms? If so, what non-monetary support are you able to provide?  *
Please share a name and social media account/website of another Black Art Mom who could benefit from this fund. 
What is your preferred electronic payment method? (Please include your handle, email address, or phone number so we can verify that we are sending funds to the right account) *
A copy of your responses will be emailed to the address you provided.
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