DPCA Grant Application
Active involvement in the Coalition will be considered when reviewing applications. Appropriations will be dependent upon available funds. Grantees will be required to present a brief synopsis of their project at the end of the year.
Organization Name *
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Address *
Street Address
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Address
Address Line 2
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City *
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State *
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Zip Code *
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Organization Website
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Principle Officers of Organization *
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Official Organization Representative Name *
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Official Organization Representative Title *
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Official Organization Representative Phone *
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Official Organization Representative Email *
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Is the organization or representative a member of the DPCA? *
Is this group a non-profit, 501c3 organization? *
Please explain the reason you are applying for the scholarship fund and how you will support the organization in other areas? *
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Organization history and current accomplishments. *
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