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 Nigel Charles, 215.731.1107 ext. 207, nigel@breadrosesfund.org.
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First name *
Last name *
Email address *
Primary phone number *
Alternate phone number
Address *
City *
State *
Zip code *
I'm interested in learning more about the following Giving Projects:
Will you require childcare in order to participate in the Giving Project?
Clear selection
Please describe any requirements you have relating to accessibility of meeting rooms, course materials, (e.g. print size) or any other requirements.
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.
Date of Birth
MM
/
DD
/
YYYY
Do you identify as a person of color?
Race/Ethnicity
Pronouns you use
Gender Identity
Sexual orientation
Ability/Disability Status
Class status (make your best estimation)
How long have you been in the Philadelphia region?
What neighborhood/area do you live in now?
How did you learn about Bread & Roses Community Fund's Giving Projects?
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