Grant Application

General Information

Request Summary

Demographics

Program Area of the Requesting Organization:


Arts, Culture, Humanities

Education

Environment/Animals

Health

Human Services

Public/Society Benefit

Religion

Other

Population Served:


General Population – General/Unspecified

Poor, Economically Disadvantaged, Indigent

Homeless

Unemployed, Underemployed, Dislocated

Health or Disability – General/Unspecified

People/Families of people with Health Conditions

Other Health/Disability

Alcohol, Drug, Substance Abusers

At-Risk Populations

Elderly and/or Disabled

Families

Other Named Groups

Age Group Served:


General/Unspecified

Combined Children’s Ages

Infant to Preschool (0-5 years)

Grade School (6-13 years)

High School (14-18 years)

Adults (18+)

Seniors (65+)

Gender:

Project Detail

Certification – I certify that the information included in this proposal is true and accurate to the best of my knowledge.

888-272-5202

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