Halt Poverty Small Grants Application

Please note the application must be completed in one sitting as the form does not have a save function. Estimated time to complete: 5mn

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* 1. Select the area you work in

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* 2. Write the name of the company you work

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* 3. Contact Information

Provide Your Full Name

Address

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 4. Gender

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* 5. Select your age

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* 6. Provide your local ID Card Number

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* 7. Should you be successful. Please outline how would you use this funding

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* 8. Would you please provide a budget with estimated costs, showing how you would use a grant from Halt Poverty? Draft this in a list with bullet point. Should your request be successful, you will be asked to provide photos and a detailed report on expenditure following the completion of the project

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* 9. Have you received funding from Halt Poverty in the past?

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* 10. Choose a payment method. Should your request be successful, you will later be asked to provide your bank or mobile account number