Funding Request/grant Application Form Page 2
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1
2FUNDING/GRANT
A PPLICATION:
Please
p rovide
t he
i nformation
b elow.
( No
m ore
t han
t hree
t yped
p ages
i n
l ength)
1.
Clearly
d escribe
t he
p rogram’s
g oals,
o bjectives
a nd
s ustainability:
a. Goals:
b. Objectives
( in
m easurable
t erms):
c. Sustainability:
2.
Provide
a
d escription
o f
h ow
t he
m oney
w ill
b e
s pent?
3.
Where
w ill
t he
p rogram
t ake
p lace?
W hat
f acilities
w ill
b e
u sed?
4.
Other
f unding
s ources:
5.
Specifically,
h ow
w ill
t he
p rogram
s erve
t he
t arget
a udience?
6.
How
w ill
t he
p rogram
b e
s taffed?
H ow
w ill
i nstructors
b e
s elected?
W hat
q ualifications
a re
n ecessary?
7.
How
w ill
t he
p rogram
o utcomes
b e
e valuated?
8.
Will
t he
p rogram
c ontinue
t o
b e
p rovided
f or
p articipants
b eyond
t he
g rant
p eriod?
I f
y es,
h ow?
I f
n o,
why
n ot?
9.
Where
d o
y ou
e nvision
t his
p rogram
i n
t hree
y ears?
Attachments:
A
c opy
o f
t he
p rograms
b udget.
( Financial
b reakdown
o f
i ncome
a nd
e xpenses
f or
t his
p rogram)
•
Proof
o f
y our
o rganization’s
t ax
e xempt
s tatus
( if
a ny)
•
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