APPLICATION

application

RJ By You Application

Please fill out this brief application to be considered for a micro-grant. Applications are reviewed on a rolling basis, so apply as soon as you can.

Your name and Name of group (if relevant):

Your age and/or the ages of folks in your group:

Best way to contact you (text or email):

Please indicate if project participants are members of the following communities, or the the proposed project impacts the following communities: (CHOOSE ALL THAT APPLY)

Native/reservation community

Rural community

Communities of color

LGBTQ+/queer community

Immigrant community

In what type of community will your project will take place: (college, tribal college, town, etc):

Please briefly describe your project and how your project will bring awareness to or promote reproductive justice?

What are your steps for implementation and what is your desired outcome?

How much money do you need to make your project happen? What will your major expenses be? Please provide a breakdown of expected expenses (Maximum request of $2,500)

Our project will improve knowledge, advocacy or access to: (choose all that apply)

Safe abortion

Contraception and family planning

Accurate sex education

LGBTQ+ rights

Respectful birth care, prenatal care or postpartum care

Having and parenting children in safe communities

Freedom from sexual/intimate partner coercion and violence

IVF/infertility

Freedom of conscience/religion

Rights and health of birth parents who place children for adoption

Rights and health of teenage or young parents

Other

What is your address? (Note: this is only eligible for South dakotan and missouri residents)

Thank you for submitting an application!

Our team may contact you with follow up questions.

Questions about this opportunity?

Please email info@rjbyyou.com

RJ By You is a sponsored project of Innovations in Reproductive Health Access. Design by Pipa B.

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