YouthBank Application Application Deadline: Monday, November 28, 2022 – by 11 pmToday's Date* MM slash DD slash YYYY Primary Contact First Name* Primary Contact Last Name* Primary Contact Age* Primary Contact Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest 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 will you follow through with your idea? Please include a timeline with approximate dates and locations.*Will anyone else, such as adults or other youth, help make your idea happen? Who are they and what will their role be? (Remember: the project needs to be youth-led and focused.)*Does your application address improving the physical, mental or social health of Northfield youth through positive outlets? If it does not address one of these issue, please explain why you think the need you have identified is one that should be addressed.*Please attach a budget with as much detail as possible. What you will need funding for and how much each item will cost. If available attach information that shows us where you got your estimated costs from, and please detail from where, if at all, you are seeking additional funding.*Grant funds you would like from YouthBank Northfield ($500–$10,000).* 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. Deadline for applications: Monday, November 28, 2022 – by 11pm. If your application is being considered for grant funding, we will contact you to arrange an interview to take place in the first two weeks of December. 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. PhoneThis field is for validation purposes and should be left unchanged.
