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Budget Request Form
If you are with an organization that is seeking additional funding, please answer the following questions below so that Councilmember Laurie-Anne Sayles can respond to your request adequately.
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Email
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Your answer
Today's Date
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DD
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YYYY
First Name
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Your answer
Last Name
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Your answer
Name of Organization
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Your answer
Phone Number
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Your answer
Did you receive funds for the current fiscal year? If so, how much?
(Please enter 0 if no funds were received)
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Your answer
Are you receiving any funds in the CE’s recommended budget for next fiscal year?
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Your answer
How much are you requesting for next fiscal year?
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Your answer
What is the difference in the budgeted amount from last FY to the upcoming FY?
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Your answer
How many County residents were assisted with your current budget?
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Your answer
How many more County residents will the next FY requested funds assist?
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Your answer
What will you do with the additional funds if requesting an increase for the next FY?
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Your answer
Please provide current-year demographics, including the ZIP codes, for the County residents you serve.
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Your answer
Please email any relevant documents to councilmember.sayles@montgomerycountymd.gov
Your answer
Any other information you would like to share about your request?
Your answer
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