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Grant Inquiries

Organizations Seeking Grants

Please fill out the fields below if you would like to request grant funding.

Organization Name*

Organization Permit No.

Address*

Telephone

Primary Contact Name*

Primary Contact Title*

Primary Contact Email*

Project Title*

Amount Requested*

Period of Proposal
From:
To:

Geographical Area Served

1. Grant Purpose
(What problem are you trying to address? How do you propose to resolve the problem?)

2. Proposed Activities
(How do you plan on achieving the proposed change? What will the grant activities be?)

3. Outputs/Outcomes
(What would success look like? What will the outputs and outcomes be? Who/how many people will benefit from this work?)

4. Grantee Organization
(Please tell us about your organization: mission/philosophy, staff and Board)

(*) required fields

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