CampusProgress.org | Campus Progress Organizing Grant Application

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Email: *

First Name: *

Last Name: *

Address: *

City: *

State/Region/Province: *

Zip: *

Phone: *

County:

School (if applicable):

Major/Degree (if applicable):

Year of college graduation (if applicable):

Date of birth (MM/DD/YYYY): *

Organization Name: *

Organization Mission: *

Is this organization a chapter of a larger organization? If so, what extenuating circumstances should we consider when reviewing your application? (More Info): *

Size of Membership: *

Name of Campaign:: *

Is this a new campaign? If not, how long has your student organization been working on it?: *

What is the problem that you would like to address, and why?: *

What solution are you proposing for this problem?: *

Who is the target (decision maker)?: *

How will your campaign help solve the problem?: *

What is your timeline?: *

Do you plan to work with other organizations? How?: *

How much funding are you seeking from Campus Progress?: *

How will that money be spent?: *

Size of budget/where funds come from: *

Are you seeking funding from your school or other organizations for this work? If so, how much?: *

What are other ways that Campus Progress can help?:

How did you hear about Campus Progress Action Grants?: *

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