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givinghub.foundationsource.com Open in urlscan Pro
52.34.26.31  Public Scan

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Submitted URL: https://fsrequests.com/aep-apco
Effective URL: https://givinghub.foundationsource.com/form?defId=39954
Submission: On March 22 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST 

<form data-amplify-form="" data-amplify-authenticator-signup="" method="post">
  <fieldset class="amplify-flex" style="flex-direction: column;">
    <div class="amplify-flex" style="flex-direction: column;">
      <div class="MuiStack-root css-1ov46kg">
        <h3 style="margin: 0px;">I will be submitting applications to receive funds for:</h3>
        <div class="MuiFormGroup-root MuiFormGroup-row css-6q5nt7" role="radiogroup">
          <div class="orgType active MuiBox-root css-0"><label class="MuiFormControlLabel-root MuiFormControlLabel-labelPlacementEnd css-1797nm3"><span
                class="MuiButtonBase-root MuiRadio-root MuiRadio-colorPrimary PrivateSwitchBase-root MuiRadio-root MuiRadio-colorPrimary Mui-checked MuiRadio-root MuiRadio-colorPrimary css-1i2jcgf"><input class="PrivateSwitchBase-input css-1m9pwf3"
                  name="custom:org_type" type="radio" value="1" checked=""><span class="css-hyxlzm"><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium css-q8lw68" focusable="false" aria-hidden="true" viewBox="0 0 24 24"
                    data-testid="RadioButtonUncheckedIcon">
                    <path d="M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm0 18c-4.42 0-8-3.58-8-8s3.58-8 8-8 8 3.58 8 8-3.58 8-8 8z"></path>
                  </svg><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium css-1u5ei5s" focusable="false" aria-hidden="true" viewBox="0 0 24 24" data-testid="RadioButtonCheckedIcon">
                    <path d="M8.465 8.465C9.37 7.56 10.62 7 12 7C14.76 7 17 9.24 17 12C17 13.38 16.44 14.63 15.535 15.535C14.63 16.44 13.38 17 12 17C9.24 17 7 14.76 7 12C7 10.62 7.56 9.37 8.465 8.465Z"></path>
                  </svg></span><span class="MuiTouchRipple-root css-w0pj6f"></span></span><span class="MuiTypography-root MuiTypography-body1 MuiFormControlLabel-label css-kg3caj">
                <div class="MuiBox-root css-1826m1w">
                  <div class="MuiBox-root css-0">An Organization</div>A legal entity that is organized and operated for public or social benefit.
                </div>
              </span></label></div>
          <div class="orgType MuiBox-root css-0"><label class="MuiFormControlLabel-root MuiFormControlLabel-labelPlacementEnd css-1797nm3"><span
                class="MuiButtonBase-root MuiRadio-root MuiRadio-colorPrimary PrivateSwitchBase-root MuiRadio-root MuiRadio-colorPrimary MuiRadio-root MuiRadio-colorPrimary css-1i2jcgf"><input class="PrivateSwitchBase-input css-1m9pwf3"
                  name="custom:org_type" type="radio" value="2"><span class="css-hyxlzm"><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium css-q8lw68" focusable="false" aria-hidden="true" viewBox="0 0 24 24"
                    data-testid="RadioButtonUncheckedIcon">
                    <path d="M12 2C6.48 2 2 6.48 2 12s4.48 10 10 10 10-4.48 10-10S17.52 2 12 2zm0 18c-4.42 0-8-3.58-8-8s3.58-8 8-8 8 3.58 8 8-3.58 8-8 8z"></path>
                  </svg><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium css-1c4tzn" focusable="false" aria-hidden="true" viewBox="0 0 24 24" data-testid="RadioButtonCheckedIcon">
                    <path d="M8.465 8.465C9.37 7.56 10.62 7 12 7C14.76 7 17 9.24 17 12C17 13.38 16.44 14.63 15.535 15.535C14.63 16.44 13.38 17 12 17C9.24 17 7 14.76 7 12C7 10.62 7.56 9.37 8.465 8.465Z"></path>
                  </svg></span><span class="MuiTouchRipple-root css-w0pj6f"></span></span><span class="MuiTypography-root MuiTypography-body1 MuiFormControlLabel-label css-kg3caj">
                <div class="MuiBox-root css-1826m1w">
                  <div class="MuiBox-root css-0">Myself</div>A single person or family requesting grant funds for personal use.
                </div>
              </span></label></div>
        </div>
        <div class="MuiBox-root css-xi606m"><a class="MuiTypography-root MuiTypography-inherit MuiLink-root MuiLink-underlineAlways css-7xueqe">Not sure which to select?</a></div>
        <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-feqhe6"><label
            class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-filled MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-filled css-1ph5mcm"
            data-shrink="false" for=":ra:" id=":ra:-label">Organization Name</label>
          <div class="MuiInputBase-root MuiFilledInput-root MuiFilledInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl css-1azn0bv"><input aria-invalid="false" id=":ra:" name="custom:organization" type="text"
              class="MuiInputBase-input MuiFilledInput-input css-2bxn45" value=""></div>
        </div>
        <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-feqhe6"><label
            class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-filled MuiFormLabel-colorPrimary MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-filled css-1ph5mcm"
            data-shrink="false" for=":rb:" id=":rb:-label">Tax ID / EIN</label>
          <div class="MuiInputBase-root MuiFilledInput-root MuiFilledInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl css-1azn0bv"><input aria-invalid="false" id=":rb:" name="custom:tax_identifier" type="text"
              maxlength="10" class="MuiInputBase-input MuiFilledInput-input css-2bxn45" value=""></div>
        </div>
        <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-feqhe6"><label
            class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-filled MuiFormLabel-colorPrimary Mui-required MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-filled css-1ph5mcm"
            data-shrink="false" for=":rc:" id=":rc:-label">First Name<span aria-hidden="true" class="MuiFormLabel-asterisk MuiInputLabel-asterisk css-1dr1hui"> *</span></label>
          <div class="MuiInputBase-root MuiFilledInput-root MuiFilledInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl css-1azn0bv"><input aria-invalid="false" id=":rc:" name="given_name" required=""
              type="text" class="MuiInputBase-input MuiFilledInput-input css-2bxn45" value=""></div>
        </div>
        <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-feqhe6"><label
            class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-filled MuiFormLabel-colorPrimary Mui-required MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-filled css-1ph5mcm"
            data-shrink="false" for=":rd:" id=":rd:-label">Last Name<span aria-hidden="true" class="MuiFormLabel-asterisk MuiInputLabel-asterisk css-1dr1hui"> *</span></label>
          <div class="MuiInputBase-root MuiFilledInput-root MuiFilledInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl css-1azn0bv"><input aria-invalid="false" id=":rd:" name="family_name" required=""
              type="text" class="MuiInputBase-input MuiFilledInput-input css-2bxn45" value=""></div>
        </div>
        <div class="MuiBox-root css-0">
          <div class="MuiStack-root css-1mzerio">
            <div class="MuiAutocomplete-root MuiAutocomplete-hasPopupIcon css-12q5794">
              <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-feqhe6"><label
                  class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeMedium MuiInputLabel-filled MuiFormLabel-colorPrimary MuiFormLabel-filled MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-sizeMedium MuiInputLabel-filled css-tvrin1"
                  data-shrink="true" for="country-select-demo" id="country-select-demo-label">Country Code</label>
                <div
                  class="MuiInputBase-root MuiFilledInput-root MuiFilledInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-adornedStart MuiInputBase-adornedEnd MuiAutocomplete-inputRoot css-spgp0j">
                  <div class="MuiInputAdornment-root MuiInputAdornment-positionStart MuiInputAdornment-filled MuiInputAdornment-sizeMedium css-swmdpc"><span class="notranslate">​</span><img loading="lazy" width="30"
                      srcset="https://flagcdn.com/w40/us.png 2x" src="https://flagcdn.com/w20/us.png" alt=""></div><input aria-invalid="false" autocomplete="off" id="country-select-demo" type="text"
                    class="MuiInputBase-input MuiFilledInput-input MuiInputBase-inputAdornedStart MuiInputBase-inputAdornedEnd MuiAutocomplete-input MuiAutocomplete-inputFocused css-1g7d3df" aria-autocomplete="list" aria-expanded="false"
                    autocapitalize="none" spellcheck="false" role="combobox" value="United States">
                  <div class="MuiAutocomplete-endAdornment css-2iz2x6"><button class="MuiButtonBase-root MuiIconButton-root MuiIconButton-sizeMedium MuiAutocomplete-popupIndicator css-uge3vf" tabindex="-1" type="button" aria-label="Open"
                      title="Open"><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium css-vubbuv" focusable="false" aria-hidden="true" viewBox="0 0 24 24" data-testid="ArrowDropDownIcon">
                        <path d="M7 10l5 5 5-5z"></path>
                      </svg><span class="MuiTouchRipple-root css-w0pj6f"></span></button></div>
                </div>
              </div><input type="hidden" name="country_code" id="country_code" value="+1">
            </div>
            <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-feqhe6"><label
                class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-filled MuiFormLabel-colorPrimary Mui-required MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-filled css-1ph5mcm"
                data-shrink="false" for=":rg:" id=":rg:-label">Mobile Number<span aria-hidden="true" class="MuiFormLabel-asterisk MuiInputLabel-asterisk css-1dr1hui"> *</span></label>
              <div class="MuiInputBase-root MuiFilledInput-root MuiFilledInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl css-1azn0bv"><input aria-invalid="false" id=":rg:" name="phone_number" required=""
                  type="text" class="MuiInputBase-input MuiFilledInput-input css-2bxn45" value=""></div>
            </div>
          </div>
          <div class="MuiBox-root css-1kuy7z7">To make sure this number is yours, we will send you a text message with a 6-digit verification code. Standard rates apply.</div>
        </div>
        <div class="MuiBox-root css-0">
          <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-feqhe6"><label
              class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-filled MuiFormLabel-colorPrimary Mui-required MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-filled css-1ph5mcm"
              data-shrink="false" for=":rh:" id=":rh:-label">Email<span aria-hidden="true" class="MuiFormLabel-asterisk MuiInputLabel-asterisk css-1dr1hui"> *</span></label>
            <div class="MuiInputBase-root MuiFilledInput-root MuiFilledInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl css-1azn0bv"><input aria-invalid="false" id=":rh:" name="email" required="" type="text"
                class="MuiInputBase-input MuiFilledInput-input css-2bxn45" value=""></div>
          </div>
          <div class="MuiBox-root css-1kuy7z7">To make sure this email is yours, we will send you an email with a 6-digit verification code.</div>
        </div>
        <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-feqhe6"><label
            class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-filled MuiFormLabel-colorPrimary Mui-required MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-filled css-1ph5mcm"
            data-shrink="false" for=":ri:" id=":ri:-label">Password<span aria-hidden="true" class="MuiFormLabel-asterisk MuiInputLabel-asterisk css-1dr1hui"> *</span></label>
          <div class="MuiInputBase-root MuiFilledInput-root MuiFilledInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-adornedEnd css-zlevyo"><input aria-invalid="false" id=":ri:" name="password"
              required="" type="password" class="MuiInputBase-input MuiFilledInput-input MuiInputBase-inputAdornedEnd css-ftr4jk" value=""><button class="MuiButtonBase-root MuiIconButton-root MuiIconButton-sizeMedium css-1yxmbwk" tabindex="0"
              type="button"><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeSmall css-1k33q06" focusable="false" aria-hidden="true" viewBox="0 0 24 24" data-testid="VisibilityOffOutlinedIcon">
                <path
                  d="M12 6c3.79 0 7.17 2.13 8.82 5.5-.59 1.22-1.42 2.27-2.41 3.12l1.41 1.41c1.39-1.23 2.49-2.77 3.18-4.53C21.27 7.11 17 4 12 4c-1.27 0-2.49.2-3.64.57l1.65 1.65C10.66 6.09 11.32 6 12 6zm-1.07 1.14L13 9.21c.57.25 1.03.71 1.28 1.28l2.07 2.07c.08-.34.14-.7.14-1.07C16.5 9.01 14.48 7 12 7c-.37 0-.72.05-1.07.14zM2.01 3.87l2.68 2.68C3.06 7.83 1.77 9.53 1 11.5 2.73 15.89 7 19 12 19c1.52 0 2.98-.29 4.32-.82l3.42 3.42 1.41-1.41L3.42 2.45 2.01 3.87zm7.5 7.5 2.61 2.61c-.04.01-.08.02-.12.02-1.38 0-2.5-1.12-2.5-2.5 0-.05.01-.08.01-.13zm-3.4-3.4 1.75 1.75c-.23.55-.36 1.15-.36 1.78 0 2.48 2.02 4.5 4.5 4.5.63 0 1.23-.13 1.77-.36l.98.98c-.88.24-1.8.38-2.75.38-3.79 0-7.17-2.13-8.82-5.5.7-1.43 1.72-2.61 2.93-3.53z">
                </path>
              </svg><span class="MuiTouchRipple-root css-w0pj6f"></span></button></div>
        </div>
        <div class="MuiFormControl-root MuiFormControl-fullWidth MuiTextField-root css-feqhe6"><label
            class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-filled MuiFormLabel-colorPrimary Mui-required MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-sizeMedium MuiInputLabel-filled css-1ph5mcm"
            data-shrink="false" for=":rj:" id=":rj:-label">Confirm Password<span aria-hidden="true" class="MuiFormLabel-asterisk MuiInputLabel-asterisk css-1dr1hui"> *</span></label>
          <div class="MuiInputBase-root MuiFilledInput-root MuiFilledInput-underline MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-adornedEnd css-zlevyo"><input aria-invalid="false" id=":rj:"
              name="confirm_password" required="" type="password" class="MuiInputBase-input MuiFilledInput-input MuiInputBase-inputAdornedEnd css-ftr4jk" value=""><button
              class="MuiButtonBase-root MuiIconButton-root MuiIconButton-sizeMedium css-1yxmbwk" tabindex="0" type="button"><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeSmall css-1k33q06" focusable="false" aria-hidden="true" viewBox="0 0 24 24"
                data-testid="VisibilityOffOutlinedIcon">
                <path
                  d="M12 6c3.79 0 7.17 2.13 8.82 5.5-.59 1.22-1.42 2.27-2.41 3.12l1.41 1.41c1.39-1.23 2.49-2.77 3.18-4.53C21.27 7.11 17 4 12 4c-1.27 0-2.49.2-3.64.57l1.65 1.65C10.66 6.09 11.32 6 12 6zm-1.07 1.14L13 9.21c.57.25 1.03.71 1.28 1.28l2.07 2.07c.08-.34.14-.7.14-1.07C16.5 9.01 14.48 7 12 7c-.37 0-.72.05-1.07.14zM2.01 3.87l2.68 2.68C3.06 7.83 1.77 9.53 1 11.5 2.73 15.89 7 19 12 19c1.52 0 2.98-.29 4.32-.82l3.42 3.42 1.41-1.41L3.42 2.45 2.01 3.87zm7.5 7.5 2.61 2.61c-.04.01-.08.02-.12.02-1.38 0-2.5-1.12-2.5-2.5 0-.05.01-.08.01-.13zm-3.4-3.4 1.75 1.75c-.23.55-.36 1.15-.36 1.78 0 2.48 2.02 4.5 4.5 4.5.63 0 1.23-.13 1.77-.36l.98.98c-.88.24-1.8.38-2.75.38-3.79 0-7.17-2.13-8.82-5.5.7-1.43 1.72-2.61 2.93-3.53z">
                </path>
              </svg><span class="MuiTouchRipple-root css-w0pj6f"></span></button></div>
        </div>
      </div>
    </div><button class="amplify-button amplify-field-group__control amplify-button--primary amplify-button--fullwidth" data-fullwidth="true" data-loading="false" data-variation="primary" type="submit">Create Account</button>
  </fieldset>
</form>

Text Content

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I WILL BE SUBMITTING APPLICATIONS TO RECEIVE FUNDS FOR:

An Organization
A legal entity that is organized and operated for public or social benefit.
Myself
A single person or family requesting grant funds for personal use.
Not sure which to select?
Organization Name

Tax ID / EIN

First Name *

Last Name *

Country Code

Mobile Number *

To make sure this number is yours, we will send you a text message with a
6-digit verification code. Standard rates apply.
Email *

To make sure this email is yours, we will send you an email with a 6-digit
verification code.
Password *

Confirm Password *

Create Account
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Complete Applications and Outcome Forms
View and Track the Status of your Applications
Track Payment Status and Amount
Download Completed Documents
Collaborate on application completion
Learn best practices
Communicate with the funder
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