Join MAD's Team of 5000 Heroes!

Your Organization's Core

1. Organization Name:
   
   •  Contact Person & Title:
   •  Email:
   •  Phone:
   •  Website/Social Media Link:
   • Your Organization's Mission (1-2 sentences):
   • 50-word limit)

Section 2: The Heart of Your Work 

1. Describe one specific project or program you are currently running that embodies "Wisdom," "Wellness," or "Wealth" in our community. What challenge does it address, and how does it help people become more self-sufficient?
   
2. Tell us about a specific success story or a powerful testimonial from someone who has directly benefited from your work. What was their situation, and what positive change did your program help create for them?
   
   • 200-word limit)
   • 
     

1. How would a $1,000 grant from the F5K directly support the project/program? Be specific about what it would fund.
   
   • 100-word limit)

1. Please share a high-quality photo that best represents your organization or the people you serve. (This photo may be used by the Michael Adrian Davis Foundation to highlight your work in our F5K campaign, with your permission).
   
   •  .jpg, .png recommended)

Permission & Agreement:

• [ ] By checking this box, I confirm that the information provided is accurate and that I give the Michael Adrian Davis Foundation permission to use my organization's name, mission, success story, and submitted photo in its "Fantastic 5000" (F5K) marketing and promotional materials. I understand this is to highlight the work being done in the community and drive support for the F5K campaign.

[SUBMIT APPLICATION]