Grant Proposal Application
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Are you a nonprofit grassroots organization? *
What area(s) of focus is your project in? *
Required
Project Description [Briefly explain the project and targeted population] *
Project Timeline? [How long will your project run] *
Project Amount [How much are you looking to raise to complete this project in US Dollars/Local currency] *
Project Impact - Qualitative [How will the project positively impact your targeted population, i.e., personally, financially, socially, environmentally] *
Project Impact - Quantitative [How many will be impacted] *
Project Evaluation [To ensure Full Transparency & Accountability, what will be provided to assess the results (Financial) and status (Operational)] *
What evidence of your organization's impact will you be able to provide during the project? *
Required
Organizational Background  (Describe your organization) *
Organizational Information (Describe your initiatives and key accomplishments) *
Are you located in the U.S.? *
If no, do you have a bank account that will accept international transfers from the U.S., with no prohibitive costs being incurred on BreaktheTide.
Clear selection
What is your full name? *
What is your role/title in your organization? *
What is your email address? *
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