Community Project Grant Application

Office for the Prevention of Hate Crimes


Community Project Grants (with CCHR)

Breaking Bread, Building Bonds
Community Project Grants (with CCHR)
HeARTwork Against Hate
Interagency Committee on Hate Crimes
Partners Against The Hate (P.A.T.H.) FORWARD
Violent Hate Crime Notification System
Women Forward LGBTQ+/TGNC Anti-Violence Grant

Breaking Bread, Building Bonds

Community Project Grants (with CCHR)

HeARTwork Against Hate

Interagency Committee on Hate Crimes

Partners Against The Hate (P.A.T.H.) FORWARD

Violent Hate Crime Notification System

Women Forward LGBTQ+/TGNC Anti-Violence Grant


Community Project Grant Application

* Indicates required fields

Section 1: Contact Information

Applicant Name(s)*

(If applicant is an organization, put the organization's name)

Primary Contact Person

(if applicant is an organization/academic institution)

Phone*

Email*

Address*

Address 2

City*

State*

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

ZIP Code*

Social Media

Section 2: Project Information

Project Name*

Location(s) of Project*

(If online initiative, specify platforms)

Type of Project*

(event, program, video, community network, etc.)

Date(s) of Project*

(if multiple, list all)

Target Audience*

Amount Requested*

(up to $10,000)

Section 3: Project Description

Description*

(What are the goals and objectives of your proposal? How does it align with the purpose of this grant? How does it seek to address hate, bias and discrimination? How does it uniquely address New York City?)

Expected Outputs & Impacts*

(How the project will impact participants, individuals, and community as a whole? What are the metrics for success? How does your project align with OPHC & CCHR's goals? How will you involve OPHC & CCHR in the project?)

Work Plan & Timeline*

Please complete and attach excel doc to list your Work Plan & Timeline

(List tasks or steps needed to implement this project successfully. All projects must be completed by the end of June)

Choose a file…no file selected

Project Budget*

Please complete and attach excel doc to list your Project Budget

(Budget must align with the project description above. Note: All budgeted items will be reviewed and assessed individually during the evaluation a proposal. Be as accurate as possible.)

Choose a file…no file selected

Section 4: Self-Reporting

Gender*

Female

Male

Gender Non-Conforming and Non-Binary

Other

Prefer Not to Answer

Race/Ethnicity*

Black

Black American

African

African American

American Indian or Alaska Native/Native American

Asian and Pacific Islander

Caribbean

Middle Eastern

Hispanic or Latino

White

Other

Prefer Not to Answer

Languages Spoken*

English

Arabic

Bengali

Chinese

French

Haitian Creole

Korean

Polish

Spanish

Russian

Urdu

Other

Prefer Not to Answer

Religious Affiliation*

Agnostic

Athiest

Catholic

Protestant

Hinduism

Islan

Jehovah's Witness

Judaism

Sikh

Unaffiliated

Other

Prefer Not to Answer

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