2025 Creating Change Scholarship Application

Application Deadline is December 1, 2024

Each organization receiving scholarship funds 1) must have received an AFFA Grant in the past; and 2) must commit to send a minimum of two youth participants to the Creating Change Conference on January 22-26, 2025, in Las Vegas, Nevada.

Scholarship participants are asked to submit a report with the following information after the conference:

What was (were) the highlight(s) of the conference?
What advocacy do you intend to undertake, either individually or collectively, as an outgrowth of your experiences at the conference?

These reports should be emailed to the AFFA Small Grants Program info@affa‐sc.org by March 1, 2024.

For further questions, please contact Chase Glenn at chase@affa‐sc.org or 843‐883‐0343.

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Organization Name *

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Physical Address (if different from mailing address)

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Website / URL

Contact Person *

First

Last

Contact Person's Title *

Organization Federal Tax ID (EIN) *

What is your organization’s tax status? *

Fiscal Sponsor (if applicable)

Tax ID Number of Fiscal Sponsor (if applicable)

Have you received an AFFA Small Grant in the past? (this is required to be eligible) *

Requested Scholarship amount ($1,500 maximum) *

Please attach your Creating Change budget with a copy of (proposed) in‐kind donations *

Click or drag a file to this area to upload.

Attach the names of youth participants (must be at least two) with brief bios and contact information (email/phone) *

Click or drag a file to this area to upload.

Name