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Grant Application Form
ORGANIZATION INFORMATION
Name of Organization:
Contact Name and Position:
Street Address:
Mailing Address (if different from above):
Telephone:
Email:
Website (optional):
Charitable Registration Number:
Registration Date:
Mission or mandate of the applicant organization including the geographic area served:
PROJECT INFORMATION
Name of Project:
Project Summary (please include project benefits, who will benefit, overall cost and requirements, timeline, how success will be measured):
Funding request (please specify - one time versus recurring):
Please attach any relevant project files
Comments/Questions
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