Project Request Form
INSTRUCTION: PLEASE FILL IN ALL INFORMATION. THERE IS A COMMENT SECTION BELOW TO ADD ADDITIONAL INFORMATION. YOUR APPLICATION WILL BE REVIEWED AND YOU WILL BE CONTACTED WITH NEXT STEPS.
Email address *
REQUEST DATE : *
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PROJECT TITLE:
Your answer
PROJECT COORDINATOR NAME
Your answer
PROJECT OWNER (PERSON RESPONSIBLE FOR THE PROJECT)
Your answer
PROJECT DESCRIPTION
Your answer
PROJECT OUTCOMES (WHAT WILL BE ACHIEVED BY THIS PROJECT? OUTCOME SHOULD BE SMART-SPECIFIC, MEASURABLE, ACHIEVABLE, REALISTIC AND TIME-BOUND.
Your answer
WHAT SERVICES ARE YOU REQUESTING FROM STARS OF HOPE?
PROJECT JUSTIFICATION: WHY SHOULD THIS PROJECT BE UNDERTAKEN?
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PROJECT LOCATION *
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ESTIMATED NUMBER OF PARTICIPANTS *
Your answer
SPECIAL INSTRUCTIONS /NEEDS FOR THIS PROJECT
Your answer
FUNDING SOURCES
PROPOSED PROJECT DATE *
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DD
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YYYY
COMMENTS
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