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Registration Form
Step 1 of 3:
Tell us about You and Your Funding Needs
First Name:
Last Name:
Street Address:
Zip:
City:
State:
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Gender:
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Male
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What is your age?
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18-25
26-34
35-49
50-65
66-80
80 +
Citizenship Status:
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U.S. Citizen
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Green Card Holder
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Not Sure
Ethnicity:
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Asian American
Black or African American
Hispanic
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Other
Pacific Islander
White
Employment Status:
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Employed Full-Time
Employed Part-Time
Self Employed
Unemployed
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Collecting Social Security
Disabled
Phone Number:
Choose which type of funding you are interested in:
Business
Community Assistance
Education
Elderly
Home Buyers
Home Improvement
Housing
Inventions
Minorities / Demographic
Misc
Non-Profit
Personal Assistance
Real Estate
Veterans
Women
Suggested Sub-Categories
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Agriculture
Capital Funding
Energy
Environmental
Equipment
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Farming
Geothermal
Machinery
Marketing
Medical
Small Business
Start-up
Technology
Training
Transportation
Travel and Tourism
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(Check all that apply)
Economic Development
Health and Human Services
Historical
Municipalities
Rural
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(Check all that apply)
Accounting
Advertising
Architecture
Art
Arts
Aviation
Business & Marketing
College
College Freshman
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College Sophomores
Communications
Computer Science
Cosmetology
Culinary Arts
Dance
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Economics
Education
Elementrary Education
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English
Foreign Language
Government
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High School
High School Freshmen
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Higher Education
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Major
Math
MBA
Merit
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Minorities
Need Based
Nursing
PHD
Post-graduate
Preschool
Psychology
Religious
Science
Secondary Education
Special Education
Sports
Teachers
Theater
Trade School
Undergraduate
Writing
Youth
Suggested Sub-Categories
(Check all that apply)
203 (k) Loans
Blighted Economic Zones
Firefighters and other Municipal Workers
First Time Buyer
Less Than 20% Down Payment
Minority Based
More Than 20% Down Payment
Need Closing Cost Grants
No Down Payment
VA - No Down Payment Loans
Suggested Sub-Categories
(Check all that apply)
Foreclosure
Mortgage Assistance
Section 8
Suggested Sub-Categories
(Check all that apply)
African American
Asian
BIPOC
Disabled
Hispanic
LGBT
Men
Native America
Native American
Pacific Islander
Suggested Sub-Categories
(Check all that apply)
Animals
Cancer
Climate Change
Conflict
COVID-19
Criminal Justice
Disaster Prevention
Disaster Relief
Domestic Violence
Energy Efficiency Improvements
Faith-based
Film
Funeral
Green
HIV / AIDS
Homeland and National Security
Insurance
International
Justice and Juvenile
Literacy and Libraries
Mental Health
Music
Organic
Other
Photography
Preservation
Prosthetics
Refugee Immigrant
Religion
Research
Rifle
Social Justice
Social Services
Solar
Substance Abuse
Wind
Workforce
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(Check all that apply)
Arts and Culture
Families and Children
Health and Medical
Sports and Recreation
Suggested Sub-Categories
(Check all that apply)
Awards
Bill
Car
Child Development
Childcare
Children
Clothing
Dental
Disability
Employment
Financial
Food / Nutrition
Healthcare
Homeless
IVF and Fertility Treatments Grants
Low Income
Medical
Mental Health
Nutrition
PTSD
Rehabilitation
Rent
Service Animals
Shelter
Unemployment
Utilities
How much money are you going to need?
Select...
$500-$10,000
$10,000 - $25,000
$25,000 - $50,000
$50,000 - $100,000
$100,000 or More
Describe what you will use the money for:
What unique things would separate you from other applicants applying for this money?
What Email address would you like to use for your Username for your Online Grant Application Account?
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