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Adventure Grant Application
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Personal Information
Application Type
(Required)
I am applying for myself
I am nominating
Nominators Name
First
Last
Phone
Email
Applicant Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Address Type
(Required)
Home Address
Temporary Address
No Address (homeless)
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Background and History
Briefly describe your personal history and journey in overcoming abuse.
(Required)
How has the experience of abuse impacted your life?
(Required)
Reason for Applying
Why are you interested in participating in an outdoor adventure through the Hope Wanders grant?
(Required)
How do you believe this adventure will contribute to your healing and personal growth?
(Required)
Financial Need
Please provide an overview of your current financial situation.
(Required)
Are you facing any specific financial challenges that make it difficult for you to fund this adventure on your own?
(Required)
Support System
Do you have a support system (family, friends, community) that is aware of and supportive of your application for this adventure grant?
(Required)
Previous Outdoor Experience
Have you participated in outdoor activities or adventures before? If so, please provide a brief overview.
(Required)
Health and Safety
Are there any health considerations or medical conditions we should be aware of to ensure your safety during the adventure?
(Required)
Goals and Expectations
What do you hope to achieve or experience during this outdoor adventure?
(Required)
How do you envision this adventure contributing to your ongoing healing and personal development?
(Required)
Community Involvement
Are you involved in any community organizations, support groups, or advocacy work related to survivors of abuse? If so, please list those organizations.
(Required)
References
Can you provide the contact information of a reference who can speak to your need for this adventure grant and your commitment to personal growth?
Reference 1
Name
(Required)
First
Last
Phone
(Required)
Email
Reference 2
Name
(Required)
First
Last
Phone
(Required)
Email
Commitment to Sharing Your Story
Are you willing to share your experience and the impact of the adventure with the Hope Wanders community, either through testimonials, blog posts, or other forms of communication.
(Required)
Yes
No
Is the applicant at least 18 years old at this time
(Required)
Yes
No
The information I provided is honest, accurate and I would like to move forward with submitting this application.
(Required)
I Agree
Comments
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Adventure Grant Application
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Adventure Grant Application
About Us
Community Partnership
Donations
Events
Volunteer
Contact Us