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Small Organization
Application
Name of the organization
Name of Point of Contact
Point of Contact Phone
Point of Contact Email
What is the mission of your organization?
How long has your organization been in operation?
How many people are directly impacted by your organization annually?
How is your organization currently funded?
Please provide annual revenue and expenditure for the last two years
Upload File
Upload .xls .csv or .pdf document (15 MB Max)
How do you plan to use the requested funds?
What makes your organization the ideal candidate for this funding opportunity?
List two references here along with their contact information. One of the references must be a current or recent recipient of your services.
Please upload one letter of recommendation.
Upload File
Upload .pdf or .doc file (15 MB Max)
Submit Application
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