OHPC Event & Sponsorship Request Form

UNITY IN THE COMMUNITY SEED GRANT FUNDING REQUEST FORM

NYC Office for the Prevention of Hate Crimes (OPHC) is committed to working with diverse communities across NYC that are passionate in making NYC a safe, welcoming, and respectable place to call home. To facilitate this goal, OPHC offers the opportunity to apply for "Unity In the Community Seed Grants" for any person or organization to host an event or project aligning with the mission of OPHC ( Education, Prevention and Building Community Relations).

SUBMIT YOUR APPLICATION TODAY!

After submitting your application, a team member will reach out to you to discuss next steps.

Thank you for being a part of the solution to end HATE in NYC!!!

* Indicates required fields

Section 1: Contact Information

Applicant Name(s)*
(If applicant is an organization, put the organization's name)

Primary Contact Person
(if applicant is an organization/academic institution)

Phone*

Email*

Address*

Address 2

City*

State*

ZIP Code*

Social Media (Optional)

Section 2: Project Information

Project Name*

Address of Project*

Type of Project*
(event, program, video, community network, etc.)

Date(s) of Project*
(if multiple, list all)

Target Audience*

Amount Requested*
(up to $2,500)

Section 3: Project Description

Description of your proposed event/project?*

What are the goals you aim to achieve with your event/project?*

How does your event or project seek to address hate, bias, and discrimination?*

How will you involve OPHC in the project?*

Work Plan & Timeline*
Please complete and attach excel doc to list your Work Plan & Timeline
(List tasks or steps needed to implement this project successfully. All projects must be completed by the end of June) Choose a file…no file selected

Project Budget*
Please complete and attach excel doc to list your Project Budget
(Budget must align with the project description above. Note: All budgeted items will be reviewed and assessed individually during the evaluation a proposal. Be as accurate as possible.) Choose a file…no file selected

Section 4: Self-Reporting

Gender*

Female

Male

Gender Non-Conforming and Non-Binary

Other

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