CCSG Application Questions for Youth Residents

Thank you for applying for the Community Connections Small Grants Youth Edition. Please complete the short application and submit your video to info@ccsmallgrants.org with your project name and neighborhood in the subject line. Please be sure your video is submitted after completing this application.

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* 1. What is the name of your project?

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* 2. Application Information:

Contact Person Name:

Mailing Address:

Address 2:

City/Town:

State/Province:

ZIP/Postal Code:

Email Address:

Phone Number:

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* 3. If conducting this project as a group, please tell us about your group. List their information below. ALL RESIDENTS MUST LIVE IN THE NEIGHBORHOOD.

Group Member #1:

Group Member #1 Address:

Group Member #1 Phone Number:

Do you live in the neighborhood?

Group Member #2:

Group Member #2 Address:

Group Member #2 Phone Number:

Do you live in the neighborhood?

Group Member #3:

Group Member #3 Address:

Group Member #3 Phone Number:

Do you live in the neighborhood?

Group Member #4:

Group Member #4 Address:

Group Member #4 Phone Number:

Do you live in the neighborhood?

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* 4. If conducting this project as a group, please tell us about your group. List their information below. ALL RESIDENTS MUST LIVE IN THE NEIGHBORHOOD.

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* 5. What neighborhood do you live in?

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* 6. How much are your asking for your project? (The amount must be between $50 and $600).

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* 7. How will you spend the money? (Please share your budget).

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* 8. Please share your matching support.

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* 9. Who or what entity will the check be disbursed to if funded?

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* 10. Please send your video to info@ccsmallgrants.org and put your project name and neighborhood name in the subject line.

Yes, I sent the video

I'll send later