ADP/TDC Economic Inequality Grant Request Form

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Requests may be for up to $1000.

In completing this Grant Form, I agree that I have updated the "ADP/TDC Economic Inequality Activity Form"

(https://docs.google.com/forms/d/1nkrWBsxdeailUUXyYs13qAkBY8am3rbey8ykLbyyziQ/viewform?usp=send_form)

within the last 30 days and I agree to complete the "Activity Form" for the initiative specified in this "Grant Request Form."

Institution

Name of Person Completing this Form

Email Address

Initiative (the program, event, class etc.) Title

Anticipated Timeline

Please describe the initiative (the program, event, class etc.) you are requesting grant funding to cover

What do you hope your initiative will accomplish and how will it impact your community?

How do you expect to use the funds?

Please provide a draft of an outline for a simple budget.

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