MYL Empowered Citizens Grant Interest Form
Please fill out this form if you want to apply for the Empowered Citizens Grant! You will receive feedback and the link to the official Empowered Citizens Grant within 2 weeks of submitting this form.

Please direct all questions to the Director of Empowered Citizens Grants, Samantha Curtis at samantha.curtis@massyouthleadership.org.

Full name
Your answer
Email
Your answer
Contact Number
Your answer
What community do you want to positively impact? Why?
Your answer
Describe 1-2 issues that affect this community.
Your answer
How could you use your leadership to positively affect this community?
Your answer
What other people (classmates, teachers, neighbors, local politicians, etc.) from your community could help support this work? Why would they be interested? How could they help?
Your answer
If you received the MYL Empowered Citizens Grant, how could you use this money, your leadership, and your community to positively impact any of these issues mentioned above?
Your answer
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