Channel Kindness Awards Application
Welcome to the Channel Kindness Awards application! We are so excited to see your creative ideas aimed at inspiring kindness and mental wellness in your community. Please answer the below prompts as best as you can.

Applications are accepted on a rolling basis until July 15th, 2020, and four winners will be chosen during that time period. If you have any questions, check out our FAQs. And if that doesn't cover it, please do not hesitate to reach out to jasmine@bornthisway.foundation. Good luck!
First Name *
Your answer
Last Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Email Address *
Your answer
Phone Number
Your answer
City *
Your answer
State *
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Born This Way Foundation.