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ADP/TDC Economic Inequality Grant Request Form
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
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Name of Person Completing this Form
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Email Address
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Initiative (the program, event, class etc.) Title
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Anticipated Timeline
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Please describe the initiative (the program, event, class etc.) you are requesting grant funding to cover
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What do you hope your initiative will accomplish and how will it impact your community?
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How do you expect to use the funds?
Please provide a draft of an outline for a simple budget.
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