Application

All submissions are due by midnight Eastern Standard Time on May 1^st

*Name of Organization:
Organization's Website:
*Name of Grant:
*Year Grant was awarded (yyyy):
*Agency that awarded the grant:
*City:
*State:
*Zip Code:
*Organization's Point of Contact:
Title:
*Business Telephone Number:
*Point of Contact's Email Address:

*Required Field

Provide a description of your organization and its' mission [Maximum 100 words]

Provide a description of the partnership between your organization and the government. [Maximum 100 words]
* Make sure to mention if your partnership is a direct award, indirect or sub-award, formal partnership with a state or local government program that receives federal funds. See contest guidelines for definitions.

Provide a description of the Video Portrait you are submitting. [Maximum 100 words].

Check the box to confirm that you have in your possession signed releases from all people shown or portrayed in the video.
*A signed release indicates that permission has been granted by an Individual to appear in the video. Releases are further described in the Frequently Asked Questions.
Download Release PDF-14KB

My organization has obtained signed releases from all people shown or portrayed in the video.

Title of Video Portrait:

Link to Video Portrait:

Check the box to confirm that if your organization's submission is a winning video, you will provide 1) A written transcript of the video's text and 2) A DVD of your Portrait of Compassion video submission.

My organization will provide and written transcript and DVD upon request.

Application

All submissions are due by midnight Eastern Standard Time on May 1st

All submissions are due by midnight Eastern Standard Time on May 1^st