Community Project Grants (with CCHR)

Community Project Grant Application

* 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

Section 2: Project Information

Project Name*

Location(s) of Project*
(If online initiative, specify platforms)

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

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

Target Audience*

Amount Requested*
(up to $10,000)

Section 3: Project Description

Description*
(What are the goals and objectives of your proposal? How does it align with the purpose of this grant? How does it seek to address hate, bias and discrimination? How does it uniquely address New York City?)

Expected Outputs & Impacts*
(How the project will impact participants, individuals, and community as a whole? What are the metrics for success? How does your project align with OPHC & CCHR's goals? How will you involve OPHC & CCHR 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

Prefer Not to Answer

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