IX Crystal Grant Application Survey

Thank you for your interest in the IX Crystal Grant Program.

By submitting this application, you and your organization affirm that you have reviewed and accept the grant program information detailed at https://institutoxilonen.com/our-mission/ix-crystal-grant-program/

Grant requests will be reviewed within 60 days. We look forward to working with you.

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* 1. Organizational information:

Name of Organization

Address

Address 2

City

State

ZIP/Postal Code

Country

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* 2. Website:

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* 3. Social Media:

Instagram

Facebook

Twitter

Other

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* 4. Applicant contact information:

Name

Title

Work phone

Cell phone

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* 5. How would the Applicant prefer to be contacted?

By Email

By Work phone

By Cell phone

By Text

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* 6. Start date of organization:

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* 7. EIN / Tax ID#:

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* 8. One sentence description of your organization:

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* 9. Person responsible for the IX Crystal (the "Keeper"):

Name

Title

Email Address

Work Phone

Cell Phone

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* 10. How would the Keeper prefer to be contacted?

By Email

By Work phone

By Cell phone

By Text

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* 11. The Keeper's experience with Crystals is: (check as many as apply)

No experience

Uses Crystals at work

Has personal Crystals

Is a Crystal collector

Friends / family have Crystals

Has had Crystal healings

Uses a Crystal water wand or elixirs

Other:

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* 12. Name of Crystal's project:

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* 13. One sentence description of the Crystal's project:

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* 14. One sentence description of how you will accelerate conscious living with this IX Crystal:

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* 15. Intended use for IX Crystal: (please rank up to 3 choices in order of preference)

	(1) First	(2) Second	(3) Third
Clearing & Protection	Clearing & Protection (1) First	Clearing & Protection (2) Second	Clearing & Protection (3) Third
Destiny Manifestation	Destiny Manifestation (1) First	Destiny Manifestation (2) Second	Destiny Manifestation (3) Third
Meditation & Attunement	Meditation & Attunement (1) First	Meditation & Attunement (2) Second	Meditation & Attunement (3) Third
Clarity & Inspiration	Clarity & Inspiration (1) First	Clarity & Inspiration (2) Second	Clarity & Inspiration (3) Third
Healing & Balance	Healing & Balance (1) First	Healing & Balance (2) Second	Healing & Balance (3) Third
Relationships & Communication	Relationships & Communication (1) First	Relationships & Communication (2) Second	Relationships & Communication (3) Third
Creative Expression & Innovation	Creative Expression & Innovation (1) First	Creative Expression & Innovation (2) Second	Creative Expression & Innovation (3) Third
Health & Wellbeing	Health & Wellbeing (1) First	Health & Wellbeing (2) Second	Health & Wellbeing (3) Third
Abundance & Prosperity	Abundance & Prosperity (1) First	Abundance & Prosperity (2) Second	Abundance & Prosperity (3) Third

Other:

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* 16. If this Crystal is to be used for a dedicated project, what is the optimal length of time necessary to achieve your goal?

3 months

6 months

Other:

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* 17. In our organization, we most value: (please rank up to 3 choices in order of preference)

	(1) First	(2) Second	(3) Third
Knowing ourselves	Knowing ourselves (1) First	Knowing ourselves (2) Second	Knowing ourselves (3) Third
Recognizing our worth	Recognizing our worth (1) First	Recognizing our worth (2) Second	Recognizing our worth (3) Third
Our impact	Our impact (1) First	Our impact (2) Second	Our impact (3) Third
Our compassion and caring	Our compassion and caring (1) First	Our compassion and caring (2) Second	Our compassion and caring (3) Third
Fulfilling our potential	Fulfilling our potential (1) First	Fulfilling our potential (2) Second	Fulfilling our potential (3) Third
Acting with integrity	Acting with integrity (1) First	Acting with integrity (2) Second	Acting with integrity (3) Third
Being trustworthy	Being trustworthy (1) First	Being trustworthy (2) Second	Being trustworthy (3) Third

Other:

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* 18. Most often an imbalance in our work comes from a lack of: (please rank up to 3 choices in order of preference)

	(1) First	(2) Second	(3) Third
Knowing ourselves	Knowing ourselves (1) First	Knowing ourselves (2) Second	Knowing ourselves (3) Third
Recognizing our worth	Recognizing our worth (1) First	Recognizing our worth (2) Second	Recognizing our worth (3) Third
Our impact	Our impact (1) First	Our impact (2) Second	Our impact (3) Third
Our compassion and caring	Our compassion and caring (1) First	Our compassion and caring (2) Second	Our compassion and caring (3) Third
Fulfilling our potential	Fulfilling our potential (1) First	Fulfilling our potential (2) Second	Fulfilling our potential (3) Third
Acting with integrity	Acting with integrity (1) First	Acting with integrity (2) Second	Acting with integrity (3) Third
Being trustworthy	Being trustworthy (1) First	Being trustworthy (2) Second	Being trustworthy (3) Third

Other:

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* 19. We would most like to nourish: (please rank up to 3 choices in order of preference)

	(1) First	(2) Second	(3) Third
Greater alignment with our mission	Greater alignment with our mission (1) First	Greater alignment with our mission (2) Second	Greater alignment with our mission (3) Third
Manifesting opportunities	Manifesting opportunities (1) First	Manifesting opportunities (2) Second	Manifesting opportunities (3) Third
Broadening our reach	Broadening our reach (1) First	Broadening our reach (2) Second	Broadening our reach (3) Third
Allowing beauty in our work	Allowing beauty in our work (1) First	Allowing beauty in our work (2) Second	Allowing beauty in our work (3) Third
Discovering a new approach for what we currently do	Discovering a new approach for what we currently do (1) First	Discovering a new approach for what we currently do (2) Second	Discovering a new approach for what we currently do (3) Third
Bringing value to our work	Bringing value to our work (1) First	Bringing value to our work (2) Second	Bringing value to our work (3) Third
Attracting support or innovation	Attracting support or innovation (1) First	Attracting support or innovation (2) Second	Attracting support or innovation (3) Third
Increasing our prosperity and abundance	Increasing our prosperity and abundance (1) First	Increasing our prosperity and abundance (2) Second	Increasing our prosperity and abundance (3) Third

Other:

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* 20. When we are most challenged, it's usually because we lack: (please rank up to 3 choices in order of preference)

	(1) First	(2) Second	(3) Third
Compassion	Compassion (1) First	Compassion (2) Second	Compassion (3) Third
Wisdom	Wisdom (1) First	Wisdom (2) Second	Wisdom (3) Third
Belonging	Belonging (1) First	Belonging (2) Second	Belonging (3) Third
Dreams	Dreams (1) First	Dreams (2) Second	Dreams (3) Third
Vision	Vision (1) First	Vision (2) Second	Vision (3) Third
Imagination	Imagination (1) First	Imagination (2) Second	Imagination (3) Third
Communication	Communication (1) First	Communication (2) Second	Communication (3) Third

Other:

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* 21. When faced with a challenge or opportunity, we would like more: (please rank up to 3 choices in order of preference)

	(1) First	(2) Second	(3) Third
Resolve	Resolve (1) First	Resolve (2) Second	Resolve (3) Third
Hope	Hope (1) First	Hope (2) Second	Hope (3) Third
Understanding	Understanding (1) First	Understanding (2) Second	Understanding (3) Third
Freedom	Freedom (1) First	Freedom (2) Second	Freedom (3) Third
Support	Support (1) First	Support (2) Second	Support (3) Third
Courage	Courage (1) First	Courage (2) Second	Courage (3) Third
Creativity	Creativity (1) First	Creativity (2) Second	Creativity (3) Third

Other:

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* 22. Please tell us more about your organization's mission, purpose, and intentions. (max 200 words)

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* 23. We are curious about your project. Please explain in more depth your hopes and goals for this endeavor and how its success will impact your organization. (max 200 words)

IX Crystal Grant Application

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* 1. Organizational information:

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* 2. Website:

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* 3. Social Media:

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* 4. Applicant contact information:

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* 5. How would the Applicant prefer to be contacted?

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* 6. Start date of organization:

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* 7. EIN / Tax ID#:

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* 8. One sentence description of your organization:

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* 9. Person responsible for the IX Crystal (the "Keeper"):

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* 10. How would the Keeper prefer to be contacted?

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* 11. The Keeper's experience with Crystals is: (check as many as apply)

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* 12. Name of Crystal's project:

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* 13. One sentence description of the Crystal's project:

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* 14. One sentence description of how you will accelerate conscious living with this IX Crystal:

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* 15. Intended use for IX Crystal: (please rank up to 3 choices in order of preference)

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* 16. If this Crystal is to be used for a dedicated project, what is the optimal length of time necessary to achieve your goal?

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* 17. In our organization, we most value: (please rank up to 3 choices in order of preference)

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* 18. Most often an imbalance in our work comes from a lack of: (please rank up to 3 choices in order of preference)

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* 19. We would most like to nourish: (please rank up to 3 choices in order of preference)

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* 20. When we are most challenged, it's usually because we lack: (please rank up to 3 choices in order of preference)

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* 21. When faced with a challenge or opportunity, we would like more: (please rank up to 3 choices in order of preference)

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* 22. Please tell us more about your organization's mission, purpose, and intentions. (max 200 words)

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* 23. We are curious about your project. Please explain in more depth your hopes and goals for this endeavor and how its success will impact your organization. (max 200 words)

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* 24. Please tell us more about how you intend to accelerate conscious living with this IX Crystal. (max 200 words)

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* 25. How did you hear about the IX Crystal Grant Program? (one sentence)

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* 26. Please upload a photo of the Keeper.

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* 27. Please upload a photo of the location for the IX Crystal.

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* 28. Please upload a copy of your 501(c)(3).

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* 29. Please upload a copy of your most recent financial statement.

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* 30. Is there anything else you'd like to share? (max 200 words)