Thank you for considering Divas In Defense to empower your group through our Passion For Protection. Please complete the application below for consideration of a full or partial grant from Divas In Defense to supplement our fee to co-host a self-defense class/workshop.

Full Name:

First Name

Last Name

Name of Organization:

Email:

ex: myname@example.com

Phone Number:

ex: (555) 555-5555

Address 1:

Street Address

Address 2:

(Apt., Suite, Box, Unit, etc.)

City:

State:

AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY

Zip Code:

501(c)3 or other:

YesNo

***Please forward proof of 501(c)3 to grants@divasindefense.com or fax to (844) 233-4372.***

Date Founded:

EIN or Tax ID:

ex. xx-xxxxxxx

What is your mission?

Social media presence and handle(s):

Facebook:
Instagram:
Snapchat:
Twitter:

Why do you need a grant?

Do you have a budget?

yesno

If Yes, what is it?

$

Event Details

Event Name:

Event Date:

How many participants are you expecting at your event?

Is there a vendor opportunity available?

YesNo

Will there be media to promote class?

YesNo

How do you plan to promote class?

By typing your name below, you authorize Divas In Defense Inc. to review your social media and non-profit status.

Electronic Signature:

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