Youth Grants Application 2016-17

    I. Contact Information

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    A valid email address is required.
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    Must be a number
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    II. Assurance Statement

    To be considered for funding by the Madison Civics Club, an organization must complete our application form and return it along with this signed assurance statement and a copy of the organization’s 501(c)(3) or equivalent determination letter from the IRS. For online application submission, type the name. If your organization or group is selected to receive a grant, we will need a signed copy of a PDF of the Assurance Statement that you can download from our website). On behalf of the requesting organization, I hereby certify that the requested grants will be used for the purposed stated on the application form and will not be used in any program that otherwise discriminates on the basis of race, sex, religion, color creed, disability, sexual orientation, national origin, ancestry or age, or any other basis prohibited by applicable law.
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    III. Proposal Description

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    Must be a number less than 10
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    Must be a number less than or equal to 10
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    Must be a whole number
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