Intent to Apply - Episcopal Charities YOG 2017-18
Please fill out a separate intent to apply form for each program that will submit an application for a Summer 2017 or 2017-18 Academic Year Youth Opportunity Grant. The intent to apply deadline is Friday, January 6 at midnight. The application deadline is Friday, February 3 at 5:00 p.m.
Name of Program *
Your answer
Name of Sponsoring Parish *
Your answer
Days and Hours of Program Operation *
Please indicate days and hours of program operation as well as dates the program begins and ends.
Your answer
Person to Contact to Arrange a Site Visit:
As part of the grant evaluation process, a member of the Episcopal Charities Advisory Committee will visit the program between February 4 and March 12, ideally during program operation. The site visit contact person listed below should be available by e-mail and telephone to schedule this visit.
Contact Name *
Your answer
Phone Number *
Your answer
E-mail Address *
Your answer
Site Visit Information
Program address where the visit will take place *
Include any special instructions or parking information. (e.g. "Enter through side door.")
Your answer
Dates and times that are best for a visit *
We will schedule a one-hour site visit between February 4 and March 12, ideally during program operation. In addition to the program director, we encourage you to invite clergy and parish lay leaders to this visit. Please provide at least 3 dates and times that would be appropriate for a visit.
Your answer
Grant Eligibility
View Episcopal Charities' grant eligibility requirements and grant guidelines here:
Name of person filling out this form *
Your answer
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