Name of applicant

(We need a person's name here. First name, last name )

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Organization name

(Ex: Rising Tide North Texas, etc)

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Receiver's Name?

Who should we make the check out to (if approved?)

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Email

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Phone number

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Mailing address

(where you want the check sent)

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How much are you applying for up to $1000?

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Briefly describe the work your group has been doing recently?

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What sort of project or action are you funding with this grant?

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Are you able to track you spending of this money? (This will be required)

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Does the project need any support from the Rising Tide trainers network?

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Does the project need any media or outreach support from Rising Tide North America?

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Can Rising Tide use images or reportbacks from this project to help with future fundraising ?

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Rising Tide Action Fund Application