Flourish Grant Interest Form

To access the Flourish Grant application, please fill out this interest form. Oregon Well-being Trust collects the information on this form so we can follow up with you in the future.

When you submit the form, you will be taken to a new page with links to the Flourish Grant application and documents. Download these documents to your computer so you can fill them out.

If you’re not sure where your downloaded documents went, please check the “download” button in your internet browser. If you still cannot find the downloaded documents, please contact Asta@oregonwellbeing.org or Arien@oregonwellbeing.org and we will email you the documents.

Name*
First Last
Email*
Organization*
Your Role at the Organization*
Your ESD*
If you work at a K-12 district, please write the name of your ESD. If you work at an ESD or a Community College, please write “NA.”
Phone
Total Number of Employees
With tiered funding, you may be eligible for additional funds if you have a certain number of employees.
How did you hear about the Flourish Grant?*
We would like to add you to our email list so we can notify you about new funding opportunities, events, and resources. If you do NOT want to be added to our email list, please check the box.
- I want to opt out of being added to your main email list.
We respect your privacy and will not share your email address.
Additional Information