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Registration Form
Step 1 of 3:
Tell us about You and Your Funding Needs
First Name:
Last Name:
Street Address:
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Gender:
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What is your age?
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18-25
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Citizenship Status:
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Ethnicity:
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Employment Status:
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Employed Full-Time
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Phone Number:
Choose which type of funding you are interested in:
Bills
Business
Cars / Vehicles
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EDU - Schools
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Agriculture
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Elementrary Education
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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
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Foreclosure
Mortgage Assistance
Section 8
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African American
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Animals
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Arts and Culture
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Awards
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Childcare
Children
Clothing
Disability
Employment
Financial
Healthcare
Homeless
IVF and Fertility Treatments Grants
Low Income
Mental Health
Nutrition
PTSD
Rehabilitation
Service Animals
Shelter
Unemployment
How much money are you going to need?
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$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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