Manatee County Aging Network Grant Application
Name of Organization *
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Street Address *
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Street Address, Line 2
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City *
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State *
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Zip Code *
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Phone Number *
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Contact Person *
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Contact Position/Title *
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Contact E-mail *
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Brief description of program/project *
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Approximate number of seniors to be served *
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Grant Amount Requested *
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Purpose for which funds will be used *
please provide a detailed description
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Your organization's mission statement *
You may provide a link to your webpage that discloses your mission statement
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