The Interhelp Network’s Micro-Grant 2023 Application Form Applications are accepted on a rolling basis as long as funds last in calendar year 2023. Before filling out this form, please review the Guidelines. Please enable JavaScript in your browser to complete this form.Name *FirstLastE-mail *Phone number *Address *1. How familiar are you with The Work That Reconnects (WTR)? Please describe your experience with the WTR. You may use a scale of 1-10 with 1 = “unfamiliar” and 10 = “very experienced.” *2. Event title / brief description: *3. Program date & likely venue: *4. Sponsoring organization (if any): 5. Are you collaborating with others for this event? If so, please list (names are optional; we are interested in knowing if you have co-conveners). *6. Who is your intended audience / participants? *7. What is your goal for number of participants? *8. To meet the micro-grant criteria, this event includes core aspects of the WTR (describe): *9. Is your event being held in person or online? If in person, where? Is this event accessible to people in the Northeast United States? *10. Does your event address priority focus area(s)? Refer to Guidelines. Describe how: *11. Total micro-grant request: *12. These funds will be used for: *13. Do you intend to charge a fee or ask participants for a donation?14. What are your other sources of funds, if any? *15. If there is there anything else you would like to tell us about your event? EmailSubmit