|
Applicant:
|
|
Contact Person:
Telephone:
|
|
|
|
Email Address:
Tax ID No.:
|
|
Brief description of your organization
(history, principal accomplishments, staff, and number of members:
[
Note: Maximum of 2,400 characters - approximately 27 lines in a Word document.]
|
|
Description of (i) the project;
(ii) need for the project; and
(iii) your capability to carry the project through:
(1) What will be accomplished?
(2) Does it have reasonable assurance of success?
(3) How does it seek to “break new ground”?
(4) If other funds are required, will project be started before the balance is in hand?
(5) What criteria will be used to measure success?
[
Note: Maximum of 7,200 characters - approximately 1 1/2 pages of a letter-sized Word document.]
|
REQUIRED ATTACHMENTS:
(1) List of Board of Directors (including occupations and other positions).
(2) Project budget.
(3) Applicant's last financial statements.
(4) Resumé of person overseeing project.
(5) Applicant's exemption letter from IRS. |