ACII Round 2 Sign Up

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Thank you for your interest in Round 2 of the Afghan Community Impact Incubator (ACII). Please fill out this form to sign up for the program. Your idea does NOT have to be finalized at this stage, we just want to get a general sense of your project. CHANGE: The deadline to sign up is July 23, 2021 at 11:59pm EST.

If you have any questions, please email yasna@ayedi.ca or banin@ayedi.ca

Please visit (www.ayedi.ca/incubator2) to review the eligibility criteria and requirements for the ACII Program before you submit this form.

REPLACE: When you submit this form, you will automatically be enrolled in our *MANDATORY* Ideation and Grant Writing Workshop on Saturday, August 14, 2021. At least one team member needs to attend this workshop in order to move forward in the program.

WITH: When you submit this form, you will be sent the ACII Onboarding Guide. You must read through the document etc etc

ADD AFG SECTION

Full Name of Project Lead *

Email of Project Lead *

Phone Number of Project lead *

Age of Project Lead *

Full Address of Project Lead *

Gender of Project Lead *

Male

Female

Transgender

Intersex

Other identity

Prefer not to say

Other:

Please list the full names and ages of any other team members (separated by a semicolon). *

Please list the emails of your other team members (separated by a semicolon). *

Are you a: *

Not for profit organization

Grassroots organization

Informal group of Afghan youth who came together for this project (minimum 2 people)

Other:

Please enter the name of your group if any. Include a website if you have one. If none put "NA". *

Please briefly describe your project in 3-4 sentences. Your idea does NOT have to be finalized. Please give us a general idea of the purpose, objectives/goals, target population, timeline, and activities carried out. What is your initiative? How will it address a community issue? How will the funds help? *

Who do you want to help? Choose one or more audience connected to your project idea. We encourage projects to incorporate outreach to newcomer and refugee Afghans. *

Refugees & newcomers

Senior citizens

Persons with disabilities

Indigenous people

LGBTQ2+ community members

Racial or visible minorities

Vulnerable individuals (e.g., mental health, addiction, abuse)

At-risk children and youth

Multi-barrier populations

Required

Where will your project take place? (city, region, province) *

Do you confirm that you and your project team members will read the ACII Onboarding Guide in its entirety? *

Yes

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