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GRANT APPLICATION
Application Deadline (postmarked) is April 20, 2009.
Date:______________________
Organization/Agency Requesting Funding:_______________________________________________________________
Project:______________________________________________________________ Fed. Tax ID#________________
Address:___________________________________________ City:_____________________ State:____ Zip:_________
Contact Person and Title:____________________________________________________________________________
Telephone:_________________________ Fax:_________________________ E-mail:____________________________
Total Annual
Amount Requesting:$________________ Total Project Budget:$_________________ Agency Budget:$______________
Timeframe for Project:_________________________________ Preferred payment date:_________________________
Top of Form
Type of Request: New Program/Project General Operations Support Capital Equipment/Materials
Ongoing Program Support Other: ________________________________________
Organization
A. Briefly describe the purpose/mission of your organization:
Project
A. Describe the Community Need/Problem being addressed by this project.
B. Project Description.
1. Briefly describe the project.
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2. Describe expected outcomes. (How will you know if the project has been successful? How will the success of the project be measured?)
3. If you received funding from the Readlyn Community Fund last year, please give a brief explanation of the results of that grant (a concise summary of the full report already submitted to the Foundation.)
C. Describe Targeted Audience.
Financial Information.
D. How will the funds you are requesting be used? (Please describe in narrative form, and attach detailed Project Budget)
E.
Other Funding Requests. Please list all other sources you are requesting funding from, the amount you are requesting and if funding has been approved. Please include general fundraising activity and in-kind services.
F. Plans for On-Going Funding.
Application must be type-written or formatted similarly on your computer.
Comments must be limited to two pages. (Appendices are allowed.)
See “Grant Application Procedures & Checklist” brochure for further submission requirements.
Incomplete applications cannot be considered.
www.cfneia.org/readlyn
Application deadline (postmarked) is April 20, 2009.