The John Gardner Grant Application

 

Organization/individual Name ________________________________________________________

Address ___________________________________________________________________________

Phone: (           ) ________________ fax (           ) _______________ e-mail _____________________

Project Director _____________________________________________________________________

Address ____________________________________________________________________________

Phone (           ) _________________ fax (           ) ______________ e-mail ______________________

Summary:
Project title
________________________________________________________________

Amount requested ____________________________________________________________________

 

Project description (who, what, where, when, why)

 

 

 

 

 

 

 

 

Impact

 

 

 

 

Evaluation/Documentation

 

 

 

 

BUDGET

Expected Income/Source:

Cash

 

 

In-kind

 

 

Expense (list by individual categories such as materials, printing, etc.)

 

 

 

 

 

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