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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Email Address
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