Regrant Application Preview
Applicants are requested to provide the following information:
* Indicates required question
Section 1: Organizational Information
This section collects basic information about your organization, its mission, and key contacts to help us understand who you are and your primary areas of focus.
Organization Name*
Point of Contact: Name*
Role*
Email*
Phone Number*
Organization Headquarters (city, state)*
Does your organization conduct programming in other locations (city, state)? If so, please list.
Mission/Vision/Purpose?*
Organization Website (not required)
Section 2: Organizational Scope and Impact
Here, we’d like to learn more about the populations your organization serves, how your work aligns with prevention-focused criminal justice reform, and the broader impact of your initiatives.
10. How does your organization's work specifically address challenges faced by system-impacted individuals and communities?
11. How does your proposed work align with the dimensions of prevention (education, economics, health, environment, and safety)?
12. Are any of the following groups intended beneficiaries of your organization's
work? Check all that apply.
Racially and ethnically minoritized groups
Women
LGBTQ Community
Individuals from low-income or indigent backgrounds
Youth involved in or aging out of the foster care system
Opportunity Youth (youth & young adults ages 16–24)
Urban communities
Rural communities
Individuals with disabilities
Reentry community/returning citizens
Other: