First Name

Last Name

Email *

Phone *

Which FREE event are you attending? *

Norfolk, VA - July 14th, 1-4pm (Mary D. Pretlow Anchor Branch Library)

Virginia Beach, VA July 15th 1-4pm (Virginia Beach/Tidewater Community College)

Tampa, FL July 18th Time (WAIT LIST)

Chicago, IL Aug 8th Time TBD (WAIT LIST)

Treton, NJ Sept 4th Time TBD (WAIT LIST) **For Faith based Leaders

Organization Name

What is your role?

Choose one or more options

Is your organization a registered 501(c)(3)? *

Yes

No

Applied & pending

Need help to apply

How long has your org been in operation? *

Choose one or more options

Have you ever applied for a grant before? *

Yes

No

(Optional) What is your biggest challenge with yiur business today?

How did you learn about our workshop? *

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If other, please share