2020-2021 Community Grant Letter of Intent
Susan G. Komen Virginia Blue Ridge
Email address *
Name and phone number *
Your answer
Provide a brief outline of the proposed program by answering all questions below
Name of applicant organization *
Your answer
Is applicant a non-profit or government organization? *
Which funding priorities of the RFA are addressed? *
Description of program including services provided (2,500 character limit) *
Your answer
How will proposed program be implemented -- i.e. steps to achieving the program’s goal(s)? (2,500 character limit) *
Your answer
Discuss any partnerships or collaborations in place/to be formed to create a successful project (1,500 character limit) *
Your answer
Target population and/or areas served with estimated numbers of total individuals served and/or services provided (1,000 character limit) *
Your answer
Estimated budget range for total program budget *
Following the submission of the Letter of Intent, Affiliate staff will provide written feedback on your program proposal within 10 days to assist in the proposal process.
A copy of your responses will be emailed to the address you provided.
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