2021 Forum Rural Philanthropy Mini-Grant Application

Deadline for Submission: November 11, 2021

Please complete the following application form.

1. Key Contact Information *This question is required.

First Name

Last Name

Title

Organization

Street Address

City

State

Zip

Email Address

Phone Number

URL

2. In 500 words or less, please describe the proposed project and provide the following details:

Describe the PSO’s level of experience/engagement in rural philanthropy - beginner, moderate, or expert levels.
How do the proposed activities address persistent poverty, racial equity, and social justice in rural communities?
How do the proposed activities align with the PSO’s strategic priorities?
How will the mini-grant activities kick-start long-term, ongoing work to advance effective practices in rural philanthropy?

*This question is required.

3. Please outline the budget for the proposed activities and indicate the amount of the mini-grant request as well as the amount that the PSO is investing in the project.

Space Cell	Mini-Grant Dollars Requested	PSO Additional Investment
Staff	Staff: Mini-Grant Dollars Requested	Staff: PSO Additional Investment
Consultant/Speaker Costs	Consultant/Speaker Costs: Mini-Grant Dollars Requested	Consultant/Speaker Costs: PSO Additional Investment
Travel Costs	Travel Costs: Mini-Grant Dollars Requested	Travel Costs: PSO Additional Investment
Materials	Materials: Mini-Grant Dollars Requested	Materials: PSO Additional Investment
Program Costs	Program Costs: Mini-Grant Dollars Requested	Program Costs: PSO Additional Investment
Other	Other: Mini-Grant Dollars Requested	Other: PSO Additional Investment
Total	Total: Mini-Grant Dollars Requested	Total: PSO Additional Investment