Please print
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1. Name of Organization: |
2. Contact Person: |
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3. Address: |
4. Email: |
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5. Telephone: |
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6. Web: |
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7. What is the purpose of your
organization? Who do you support? How many? |
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8. How much money are you requesting? |
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9. How specifically would you use the
grant? Who benefits? |
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10. Tell us briefly how you are governed? Who makes decisions on policy and
spending? How can we be sure the money
will be well spent? |
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11. Roughly, what are the annual expenditures for the organization? |
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12. Where do you get most of your funds? From whom else
have you received grants? |
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13. In three or four sentences, describe your
organization as you would like it to appear in our anniversary journal: Include these contacts in
the Journal? Phone: . . . . . . . . . . . . . Email: . . . . . . . . . . . . . . . . . . Web: |
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14. Anything else? |
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Signed: |
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