| I. Summary
Cover Sheet |
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Name
of organization |
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Date accredited |
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Contact Information |
| |
|
Name and title of primary contact |
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Address |
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Phone |
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Fax |
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Email |
|
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Program/project summary information |
| |
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Name of project or program seeking
funding |
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Total organization annual budget; total
project budget |
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Amount being requested |
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Project timing/period - period that proposed
funding would cover |
|
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Executive summary of proposed program
or project, (Please do not exceed 2 paragraphs) |
| II. Description
of Organization and proposed program or project |
| Please do not exceed 5 pages.
Please cover the following: |
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Organizational information |
| |
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Its mission |
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The need it is addressing, or the problem
it is trying to solve |
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Impact to date |
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Key activities or programs currently running
(in brief) |
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Leadership: who heads the organization?
Board members? |
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Size of team |
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Total annual budget |
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Key funders, and other revenue sources (e.g.
services or products) |
|
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Program or project for funding requested
in this proposal |
| |
| |
The economic, social
or health need or problem to be addressed |
| |
The goal, and how impact will
be measured (please quantify or describe specifically) |
| |
Target audience – the participants
and communities that will benefit |
| |
Project or Program Activity
to achieve goals (if this is a new activity for your organization,
please also explain how it fits in with or supports your
current activities) |
| |
Background information on the
leader and team members for this program or project. |
|
| III.
Budget for the project or program |
