YSA Partner Grant Application Profile

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If you already completed a Partner Profile earlier this year to apply for a different YSA Grant program, you do not need to complete the Partner Profile again. You will receive a unique link to the 50by250 Lead Organizer Grant application from Nikki Liles. If you did not receive, please e-mail her to request it.

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Organization, School, or Program Name

Internal Information

YSA Relationship Manager

GYSN

GYSN Partner Category

Partner Contact Information

Street Address

City

State

Zip Code

State/Province

Country

Organization Phone

Organization Fax

Website

Partner Point(s) of Contact

Who from your organization, school, or program will work on grant activities?

Role

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First Name

Last Name

Title

Preferred Email

Preferred Phone

Work Email

Work Phone

What is their current role and relevant experience?

Partner Information

Public Description, Including Vision & Mission Statement

This will be published without editing on YSA.org when we announce grantees.

Please tell us about your existing youth service or service-learning program(s), your experience organizing high quality programs, and any relevant impact information you want us to know.

Do you consider your organization to be more of a intermediary/capacity-builder or a program provider?

Does your organization have state or local chapters/affiliates?

How many chapters/affiliates are in your network?

Please provide a link to a listing, map, or directory of your chapters/affiliates, if available.

Which of the following best describes your organization's primary field/sector?

Which of the following best describes the geographic scope of your organization, school, or program(s)?

Please list, with short descriptions and links, any programs, campaigns, or events/days you would like to be included in our public program database and featured in our Youth Service Briefing e-newsletter.

How many young people, ages 5-25, do you reach/serve annually?

Approximately what percentage of the youth you reach/serve annually (your response to the previous question) currently participate in service activities (including volunteering, service, service-learning, advocacy, civic engagement, leadership development, national service, public service, etc.)?

Of the youth you reach/serve annually, what is your goal for the percentage that will participate in service activities during the 2022-2023 academic year?

Do you want to join YSA's 50% Youth Participation by America250 campaign (our new initiative to increase youth participation to at least 50% nationally by America's Semiquincentennial in 2026)? Will you add your name to the Declaration of Participation, and use YSA Partner Grant funds to work towards increasing youth participation in your state, community, organization, school, or program?

YesNoUnsure

YSA Program Interests

Which YSA programs are you interested in learning more about and sharing with your network?

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Which Global Youth Service Day activity category best matches the work of your organization?

Which Global Youth Service Day activity idea(s) will you share with your network?

Partner Demographics

Census

Please provide the following demographic information for the youth, ages 5-25, that you serve/reach annually. If you don't have organization, school, or program-specific information, you can use community-wide data. Your best estimates are OK.

Approximately what percentage of the youth you reach/serve annually are from low-income families and/or high-poverty communities?

Age

Pre-K Ages 0-4

Elementary Ages 5-12

Middle & High School Ages 13-18

Young Adults Ages 19-25

Adults Age 26+

Unknown

TOTAL

must = 100%

Gender

Female

Male

Non-Binary or Transgender

Unknown

TOTAL

must = 100%

Race / Ethnicity

American Indian / Alaska Native

Asian American

Black / African American

Hispanic / Latinx

Native Hawaiian / Pacific Islander

White / Caucasian

Other

Unknown

TOTAL

must = 100%

Youth Not Usually Asked to Serve

Please enter the percentage of the youth you reach/serve annually who belong to any of these groups.

Youth With Disabilities

Youth Who Are Homeless

Youth in the Foster Care System

Youth in the Juvenile Justice System

Youth Who Are Immigrants or Refugees

Youth Who Are English Language Learners

Youth From Military Families

Youth Who Are LGBTQ+

Youth From Other Underserved or Underrepresented Groups

Approximately, what is the annual budget for your youth service programs (including volunteering, service, service-learning, voting, advocacy, civic engagement, leadership development, national service, public service, etc.)?

Organization Characteristics

Which of the following best describes the individuals/members/constituents in your network?

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Which of the following forms of youth participation best match your organization's programs?

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Which of the following action strategies best describe the type of participation your organization supports?

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Which of the following age groups best describes the youth your organization reaches/serves?

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If your organization focuses on any specific issues, which of the following best matches those issues?

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Does your organization have a strategic focus in reaching any of the following demographic groups?

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If your organization focuses on any specific issues, which of the following UN Global Goals best matches those issues?

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Are your organization's activities based on any of the following sparks (passions, interests, or activities)?

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Partner Communications Capacity

Which of the following communications & marketing channels would you use to help promote your grant-funded activities?

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E-mail/E-Newsletter Circulation

Facebook Link

# of Facebook Followers

Twitter Link

# of Twitter Followers

Instagram Link

# Instagram Followers

LinkedIn Link

# of LinkedIn Contacts

YouTube Link

# of YouTube Subscribers

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Contact Information