Programmatic Funding Request Form 
To request programmatic funding from New York State Assemblymember Alex Bores, kindly fill out the form below. A member of our staff will contact you via the phone number or email address you provide.

Programmatic funding supports new or ongoing services. To request capital funding, click here.

Programmatic funding decisions are made once per year, usually around late April. Please note that due to limited funding, we will not be able to fulfill every request.
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Organization Name *
Organization EIN Number  *
Contact Name  *
Contact Number  *
Contact Email  *
Project Description *
Total Estimated Project Cost *
Which other elected officials (city, state, elsewhere) have been asked for funding?

 *
How much public funding has been secured (this year or previous years)?  *
What percentage of the project will be spent within the district? *
Have you received funding from Assemblymember Bores' office previously? *
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