YouthBank Application Application Deadline: Sunday, November 14 – by 5pmToday's Date* Primary Contact Name* Primary Contact Age* Primary Contact Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Contact Email* Primary Contact Phone*The rest of the application will ask information about your proposal and the members of your group. If you have attachments, please feel free to upload them at the end of this form.Please list the names and phone numbers of others in your group. Remember, we need to see at least three youth involved in your project.*In as much detail as possible, describe the project you want to start with the grant money. Please include how your idea is unique or addresses an issue in a new way.*How will your project benefit youth in the Northfield area? How does it address issues of equity within the Northfield area?*How does your idea become a reality? Please include a timeline with approximate dates and locations.*Do you have the support you need to make this project happen? Explain how others are involved (remember - the project needs to be youth-led and focused).*Does your application address either Climate Action of Mental Health Support? If it does not address one of these issues, please explain why you think the need you have identified is one that should be addressed.*How will your project handle necessary COVID-19 precautions (if needed)?*Please provide a budget with as much detail as possible. What will you need funding for, and how much will each item cost? If available, include (or upload) information that shows us where you got your estimated costs from.*Grant amount you are requesting from Youthbank Northfield ($1,000–$10,000).* Please detail from where, if at all, you are seeking additional funding.Please tell us how you heard about Northfield YouthBank.*In addition to this form, if you have a few photos, upload those as well. If you have a video, upload it to your favorite site, and include the link in a document for us. This is NOT required information for your application to be considered.Applicable Extra Files Drop files here or Select files Accepted file types: pdf, docx, doc, txt, jpg, jpeg, tiff, gif, png, , Max. file size: 5 MB. A place to upload your timeline, budget, photos, etc. that you feel need to be included with your application. If your application is being considered for grant funding we will contact you to arrange an interview to take place between the dates of November 16 and December 5. The interview will be your opportunity to talk to members of Northfield YouthBank about your good idea in more detail. After the interview and further review by our team, you will learn if your group has been selected to receive a grant. If you have any questions about the application, feel free to contact us at northfieldyouthbank@gmail.com. Submit Application* By checking this box I submit this application and guarantee, to the best of my ability, the information contained is accurate. NameThis field is for validation purposes and should be left unchanged.
