Supporting teen engagement in the greater New York area

Thank you for your interest in applying for a 2015-2016 Teen Engagement Micro-Grant.  Please fill out the following form in its entirety by October 15, 2015.  EXTENDED DEADLINE -  Tuesday, October 20th.

Save the date: June 2nd, 2016.  Please note that all Micro-Grant grantees will participate in a communal gathering and celebration on June 2nd, 2016 at The Jewish Education Project office, 520 8th Ave, New York, NY.

For questions, or a .doc version of this application, please contact teens@JewishEdProject.org

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* 1. Name of Institution: 

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* 2. Prefix:

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* 3. First name of person submitting application: 

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* 4. Last name of person submitting application:

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* 5. Job title: 

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* 6. Role

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* 7. In this role, are you:

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* 8. Email:

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* 9. Telephone:

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* 10. Mailing Address: 

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* 11. City: 

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* 12. State: 

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* 13. Zip code: 

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* 14. With how many learners / participants does your organization work?

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* 15. With how many learners / participants does your program work?

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* 16. For what type of organization do you work?

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* 17. When did you begin your current role? (MM/YY)

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* 18. When did you enter this field? (YYYY)

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* 19. In what year were you born? (YYYY)

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* 20. Name and Title of Supervisor (if applicable):

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* 21. Email of Supervisor (if applicable):

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* 22. Name of Proposed Experience:

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* 23. Date(s) of Proposed Experience:

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* 24. Target Population (Include ages of participants):

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* 25. Expected Number of Participants:

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* 26. Collaborating Institutions (if applicable):

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* 27. What are the goals of this proposed experience and how will it impact teen engagement in your community?

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* 28. Description of proposed experience:

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* 29. For applicants who were grantees last year AND this proposal is connected to last year's project:
Explain how the lessons you gained from last year’s teen engagement project will inform your plans to experiment or expand upon it for this year.

If you were not a grantee last year, write "Not grantee in '14-'15" in the box below.

If you were a grantee and this year's proposal is completely unconnected, please write "New Proposal" in the box below.

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* 30. What is/are the reason(s) you have chosen this topic, and what are the indicators that it is attractive to teens?

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* 31. Total cost of experience (please include a breakdown, i.e. outside speaker, guest educators and speakers, food, transportation, marketing/publicity, travel, facilities, etc. -- This grant cannot be used to supplement full-time staff expenses and staff time can only be allocated as an in-kind agency contribution.)

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* 32. Total Income of Experience (NOTE: other sources of income are not required. Put "0" if not applicable)

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* 33. Requested Amount for Teen Engagement Micro Grant: (Grants awarded are between $500 - $1000)

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* 34. What modifications will you make if you are not granted the full requested amount?

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* 35. How did you learn about the Jewish Education Project teen engagement micro-grant?

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* 36. This micro-grant proposal is being submitted with the knowledge and approval of my institution:

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* 37. If you answered "No" to the previous question, please explain:

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* 38. Website URL: 

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* 39. Twitter handle: 

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* 40. Instagram account: 

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* 41. Images and videos will be taken at events associated with this initiative. May we use your image in future marketing materials? 

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* 42. By providing my electronic signature below, We are agreeing, if selected, to participate fully in The Jewish Education Project's Teen Engagement Micro-Grant process.  We agree to provide all necessary documentation of our organization's experiment and participate in the communal gathering and celebration on June 2nd, 2016.  Further, we understand that if we are selected, we will be reimbursed for all appropriate and documented expenses up to and not exceeding the granted amount.

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