Giving Project Interest Form
Hello and welcome! We are excited about your interest in Bread & Roses Community Fund's Giving Projects. The Giving Project is designed to be a cross-race, cross-class, inter-generational process, therefore we must take time to make sure that the cohort group reflects this priority. We value you and your desire to be a part of this unique experience.

After you have submitted your interest form, you will be contacted by a Bread & Roses staff member.

If you have any questions regarding this form or the Giving Project, please contact Aarati Kasturirangan, 215.731.1107 ext. 206, aarati@breadrosesfund.org.

First name *
Your answer
Last name *
Your answer
Email address *
Your answer
Primary phone number *
Your answer
Alternate phone number
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
I'm interested in learning more about the following Giving Projects:
Will you require childcare in order to participate in the Giving Project?
Please describe any requirements you have relating to accessibility of meeting rooms, course materials, (e.g. print size) or any other requirements.
Your answer
Demographic information
The Giving Project is meant to be a cross-race, cross-class, inter-generational, multi-identity group working collectively to build community, raise money, and make grants. These questions will allow us to acknowledge the diversity of the group. Please answer based on how you identify and in whatever way makes you feel comfortable. All questions are optional.
Age
Your answer
Race/Ethnicity
Your answer
Gender/pronoun you use
Your answer
Sexual orientation
Your answer
Ability/Disability Status
Your answer
Class status (make your best estimation)
Your answer
How long have you been in the Philadelphia region?
Your answer
What neighborhood/area do you live in now?
Your answer
How did you hear about Bread & Roses Community Fund's Giving Projects?
Your answer
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