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Grant Application 2008 |
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ORGANIZATION NAME:____________________________________________________________
ADDRESS:_______________________________________________________________________
TITLE OF PROJECT:_______________________________________________________________
DESCRIPTION OF PROJECT:_______________________________________________________
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DATES OF PROJECT PERIOD:______________________________________________________
AMOUNT OF FUNDS REQUESTED $_________________________________
AMOUNT REQUESTED FROM OTHER SOURCES:$_____________________
ORGANIZATION DIRECTOR:________________________________________________________
PROJECT DIRECTOR:_____________________________________________________________
TELEPHONE:___________________FAX:__________________EMAIL:_____________________
SIGNATURE (AUTHORIZED OFFICIAL):_______________________________________________ |
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Describe applicable programs elements on a separate sheet:
1. Statement of need 2. Project activities 3. Projected beneficiaries 4. Project goals 5. Time schedule 6. Evaluation 7. Project budget
Please attach one copy of the following documents to your application: Board of Directors Recent financial statement and Current budget
SUBMIT BY JUNE 1, 2008
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For Office Use |
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Date Approved: |
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Signature: |
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Notes: |
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Evaluation Received: |
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