*1.What is your school or non-profit name?(Required.)

*2.Applicant's name(Required.)

*3.What is your title/relationship to organization?
(Applicants must be authorized school or nonprofit representatives)(Required.)

*4.Applicant's Email:(Required.)

*5.Applicant's Phone Number:(Required.)

*6.Tell us about your organization and the youth you serve (the more details the better)(Required.)

*7.Tell us about your unmet need(Required.)

*8.How much will fulfilling this need cost?
(Need should be under $2,500)(Required.)

9.What is the urgency in filling this need?
(Needs must be fulfilled in 2025)

*10.How will fulfilling this need transform lives?(Required.)

*11.Estimated number of lives this could impact?(Required.)

*12.If funding was not an issue, and we waived the Northwest magic wand to fund beyond $2,500, how would you expand your request?(Required.)

*13.Tell us why we should select your organization! The more details, the better(Required.)