Beneficiary Application

Apply here to be a Madison Ave Derby Beneficiary!

Applicants must be nonprofits serving the needs of kids in the Decatur, GA area.

Applications are due by June 23, 2023.

Please contact admin@madavederby.org if you have any questions.

Organization Name

Point of Contact Name

Phone

Address

Describe your organization's background and purpose. In your description, please include your mission, who you serve and number of people served per year, and where your service area is located.

Please describe the project(s) or initiatives(s) this funding would support if you are chosen as the Madison Avenue Soapbox Derby beneficiary.

How will the project help kids in Decatur or the surrounding area?

What is your estimated budget for the proposed project? If Derby funds don't entirely support your project, how will you adjust or supplement your budget?

What is the anticipated timeline for your project?

What is the anticipated impact of the proposed project?

Is there anything else you would like to share with reviewers that is not covered in the other sections?