Genesis Prize Women's Empowerment Challenge
Deadline: November 16, 2018 at 5:00PM (EST)
For assistance at any time, please contact Melissa Rosen at
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Name of Organization
Name of Parent Organization (if applicable)
City, State, Zip Code
Application Contact's Title
Application Contact's Email
Application Contact's Phone
Year NGO was Founded
Note: to be eligible for this grant, applicants must have a
operating history (minimum).
Is your organization a registered 501(c)(3) or legal international equivalent (Amutah, etc)?
No (if No, you MUST have a fiscal sponsor in order to qualify for this grant)
Provide your (or your fiscal sponsor's) TIN/EIN, or legal international equivalent.
2018 Operating Budget
2017 Operating Budget
Executive Director's Signature (please sign using your mouse)
Grant Type Requested:
General Operating Support (only open to organizations whose missions specifically reflect the field of impact entrepreneurship)
Please select the priority area your application addresses:
NOTE: If the work you do is not covered by the areas below, please contact Melissa Rosen at
to discuss eligibility.
Prevent gender-based discrimination, harassment, and assault
Provide gender-inclusive educational and training programs
Conduct research on economic issues challenging women working in the Jewish community
Provide opportunities for Jewish girls and women in STEM education and careers
Project Name (only required for those applying for project support)
Project Duration (if applicable)