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We want to learn about you
2023 EMPOWER Grant Pitch Competition Application Form. Complete this form to apply to pitch for a $5,000.00 grant.
* Indicates required question
Email
*
Your email
Choose your Pitch City. (*You must reside in the city in which you wish to pitch, only pick one city)
*
WYCO (Wyandotte County, Kansas)
Lawrence, Kansas
Topeka, Kansas
Manhattan, Kansas
Last Name, First Name
*
Your answer
Mobile Number
*
Your answer
Street Address
Your answer
City, State, Zip
Your answer
Gender
*
Female
Male
What is your race?
African American or Black
Asian American
Native American/Alaskan Native
Native Hawaiian/Pacific Islander
Hispanic/Latinx
White
Clear selection
How did you hear about us?
*
Friend or Family Member
Social Media or Website
Media (Newspaper, Radio or TV)
EBB Alumni
Other:
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