Responses cannot be edited
ChangeMaker Microgrant Application Form
Goal: To expand the impact of your experience and the work of NewGround by engaging our broader communities in improving and transforming Muslim-Jewish relations in Los Angeles.

Grant priority areas: civic engagement, policy advocacy, community building.

NewGround change-makers (individually, in pairs, or groups) will create a project fulfills the following criteria:

1. Engages the broader community in the work of NewGround
2. Is rooted in NewGround values: partnership, reflection, pluralism and transformation
3. Applies relationships, skills and experience from the NewGround fellowship
4. Has measurable and realistic goals

Funding provided by NewGround will be to help ChangeMakers document their project and create a video to share the work that NewGround is doing. If you need help finding and securing additional funding, please make that clear in your application, and we will do our best to refer you to funding resources or potential partners.

We will pair ChangeMakers with a mentor to help troubleshoot when problems arise, check in on the timeline of the project, and connect them to other individuals or organizations in the community that could help the project succeed.

If you have additional files, please send them to, with the subject "Changemaker Microgrant Application."

Deadline: March 2, 2017

Email address
Phone Number
Affiliation with NewGround
Title or name of project (10 words or less)
Description of project
Measurable outputs (i.e. # of people reached, # number of articles, etc.)
Anticipated outcomes (i.e.- what will the impact be of your project? How will people be affected by it?)
How you will evaluate the success of the project?
Include a timeline for your project including planning, implementation, and evaluation.
Anticipated partners (organizations and/or individuals)
Secured partners (organizations and/or individuals)
Budget- expenses and revenue (include anticipated sources of revenue including ticket sales, co-sponsorships, etc.)
Next Steps: Who is responsible for what and when will it be completed?
We would like to set up interviews on Tuesday March 21st from 11am-4pm. They will be in 30 minute intervals. Please check the times that work for you.
Please complete the captcha before submitting the form.
Never submit passwords through Google Forms.
This form was created inside of NewGroun. - Terms of Service - Additional Terms