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grant ai Form
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1.
What type of organization do you represent?
A
Municipality
B
Not-for-profit
C
Publicly-owned entity
D
Privately-owned business
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2.
Where is your organization located (City, State, Zip Code)?
City:
State:
Zip Code:
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3.
What is your organization called?
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4.
Who is your primary contact?
First name:
Last name:
Title:
Email:
Phone:
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5.
Please describe the function of your organization (Please respond in 1-2 sentences).
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6.
How do you intend to use funds, if selected (Please respond in 2-3 sentences)?
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7.
Please specify the amount of funding requested:
A
Under $10,000
B
$10,000 to $50,000
C
$50,000 to $250,000
D
$250,000 to $1,000,000
E
Over $1,000,000
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8. Finally, would you like assistance filling out application materials?
A
Yes
B
No
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Funding Futures, Empowering Communities
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