CAMS-CAIPA Community Service Fund Grant Proposal Summary of Request
Email address *
CONTACT INFORMATION
Organization's Full Legal Name *
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Mailing Address *
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City *
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State *
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Zip Code *
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Organization's President or Executive Director *
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Title *
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Phone Number *
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Email Address *
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Contact Person *
If Different
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Title *
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Phone Number *
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E-Mail Address *
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ORGANIZATION'S INFORMATION
Is the Organization a 501 (c) 3 Not-for-Profit? *
Year Established *
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EIN *
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Annual Operating Budget *
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Total Number of Board Members *
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Total Number of Staff *
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Total Number of Volunteers *
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Organization's Mission Statement *
500 Characters or Less
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Brief Description of Organization *
500 Characters or Less
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Population Served *
200 Characters or Less. Please include age groups, race & ethnicity, income levels etc.
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Breakdown of Organization's Funding Sources: Current Fiscal Years
Government *
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Corporations/Foundations *
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Fees/Income Earned *
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Individual Donors *
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Other
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If "other" please specify
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Breakdown of Organization's Funding Sources: Past Fiscal Year
Government *
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Corporations/Foundations *
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Fees/Income Earned *
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Individual Donors *
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Other
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If "other" please specify
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PROPOSAL REQUEST
Program/Project Name *
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Total Program Budget *
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Requested Amount *
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Percent of Total Budget *
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Proposed Project Duration *
Project Period From
MM
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DD
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YYYY
Proposed Project Duration *
Project Period To
MM
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DD
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YYYY
Geographic Area Served *
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Purpose of Proposed Project *
1000 Characters or Less (Approximately 250 Words)
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Description of Proposed Project *
1000 Characters or Less (Approximately 250 Words)
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Are you seeking other sources of funding for this project? *
Have you applied to the CAMS-CAIPA Community Service Fund in the past for funding?
Have you received funding from the CAMS-CAIPA Community Service Fund in the past? *
If yes, what years and for what projects?
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How did you hear about the CAMS-CAIPA Community Service Fund?
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Submitted by *
Please type your full name
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Title *
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Email Address *
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