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Organization:
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Date:
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TOTAL GRANT AMOUNT:
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INCOME SOURCEYEAR 1 AMOUNTYEAR 2 AMOUNTYEAR 3 AMOUNT
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$ - $ - $ -
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$ - $ - $ -
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$ - $ - $ -
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$ - $ - $ -
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TOTAL INCOME: $ - $ - $ -
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PERSONNEL EXPENSES: list all proposed grant funded positions in full-time equivalent (FTE). Include title and portion of time allocated. Example: "Program Director @ 0.25 FTE"
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$ - $ - $ -
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$ - $ - $ -
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$ - $ - $ -
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$ - $ - $ -
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SUBTOTAL PERSONNEL: $ - $ - $ -
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PROJECT EXPENSES: list all line items such as supplies, printing, postage, equipment, mileage and travel, training fees, etc.
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$ - $ - $ -
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$ - $ - $ -
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SUBTOTAL PROJECT: $ - $ - $ -
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CONSULTANT FEES: if applicable, list fees by individual consultant and/or the type(s) of consulting you will be seeking.
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SUBTOTAL CONSULTANTS: $ - $ - $ -
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ADMINISTRATIVE OVERHEAD: rent, utilities, insurance, legal - may not exceed XX% of total Project Budget
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$ - $ - $ -
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$ - $ - $ -
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SUBTOTAL OVERHEAD: $ - $ - $ -
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TOTAL EXPENSES: $ - $ - $ -
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SURPLUS/(DEFICIT) $ - $ - $ -
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