Action Catalyst Toolbox Scholarship Thank you for your interest, please fill out the following application. Question Title * 1. Is this a Rapid Response Action? (happening in the next few days or upcoming 2 weeks) Yes No Question Title * 2. What is the timeframe for your action? (ie. mid June, late spring). Rapid response folks are encourage to apply as soon as possible. Please note that applications are reviewed as they come in in a monthly basis. Question Title * 3. Are you *frontline community led group or organization? *By frontline communities”, we mean grassroots communities, organizations and groups organized for action against the direct impacts of injustice or harm they experience. Trans, non-binary, GNC, BIPOC Youth, and Organizers for Dis/Ability Justice are expressly encourage to apply. We are a frontline community-led organization. We are a frontline community-led group. Ummm, unsure or have questions Question Title * 4. What is the name of the organization / affinity group? Question Title * 5. What is the city and state where your organization/ affinity group is located? Question Title * 6. Please provide the contact information of the person we should be in contact with about your application? Name ZIP/Postal Code Email Address Phone Number Question Title * 7. Please tell us the mission/goals of your organization / affinity group. In other words, why and what are you all working on and how is it tied to your upcoming direct action or mass mobilization action? Question Title * 8. Please tell us how this scholarship will be utilized. What is the goal and demand of your action? Question Title * 9. What would your action call attention to? Question Title * 10. How will this money be used? Please provide an a description of how this money will be used.(ie.) This money will purchase $50 worth of art supplies for banner and sign-making prep for rally on MayDay. Question Title * 11. Optional; Recipients of the ACT Scholarship can choose any of the following tools and support for their upcoming direct action. This is an add-on and will not impact the scholarship amount requested. If interested please choose from the following tools: Action Design Curriculum Support Training/Tactical Support Question Title * 12. Do you have a budget as an organization/group? Yes No Question Title * 13. Do you have a budget for this action? Yes No If yes, please write down number below in dollar ($) format below. Question Title * 14. How much in funds is your organization / group requesting? Write down in dollar ($) format. Question Title * 15. Please tell us how you heard about the ACT Scholarship: Email Social Media Friend/Comrade/Network Other (please specify) Done
