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Thank you for taking the time to complete this form to tell us about your initiative. Our team will review it and contact you if it matches our mission and current areas of focus.

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Section 1: Contact Information

Name *

First

Last

Email *

Phone *

Organization or Affiliation

Website or Social Media Link (if applicable)

Location *

Address Line 1

Address Line 2

City

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Zip Code

Section 2: About Your Idea

Project or Initiative Title *

describe does Weis

Brief Summary (2–3 sentences) *

What community or issue does your idea address? *

Describe the change you hope to create and who benefits. *

What makes your approach new or different? *

Stage of Development: *

• Idea stage
• Early Pilot or Prototype
• Established and seeking to scale
• Other (please describe)

Other Stage of Development

Section 3: Support Needed

What type of support are you seeking? *

• Funding
• Mentorship or Collaboration
• Research or Technical Guidance
• Partnership Opportunities
• Other (please specify below)

If “Other,” please specify:

Approximate funding amount (if applicable)

Have you received other funding for this project?

• Yes
• No

If yes, please describe

How did you hear about the Weis Family Foundation? *

Upload any relevant materials (proposal, presentation, media, etc.)

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

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Max file size: 2 MB

Anything else you’d like us to know?

Section 5: Consent & Submission

Consent *

• I confirm that the information provided is accurate and understand that this form is for initial inquiry purposes only.

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