Applicant Name *
Applicant Title
MIT Affiliation *
[Select One]
Student
Faculty
Staff
Alumni/ae
Other
Phone
Email *
Group / Organization Name *
Number of Active Members
Group / Organization Website
Group / Organization Facebook page
Group / Organization Twitter page
Project Title
*
Project Description (please explain the project purpose
and why it will be compelling to an online audience) *
Desired Crowdfunding Campaign Launch Date *
MIT Fund Name
MIT Fund #
Fundraising Goal *
Suggested range is $5K - $25K
Impact of Funds Raised for MIT or
the MIT Community (case statement)
Do you have images to include for this project?
Yes
No
Do you have a video to include for this project?
Yes
No
If you don’t have a video, will you make your own video,
or will you require Crowdfund MIT video assistance?
We can create a video
We’d like assistance
Not sure
How many hours per week are you willing
to commit in total as a group to fundraising for this project?
Reach of your Program and/or Volunteer(s)
(# of connections, including students, alumni, friends,
Facebook fans, Twitter followers, etc.)
How did you hear about Crowdfund MIT? *
Note: After you press submit, you will receive a copy of your application at the email address you provided.
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