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Survivor Circle Grant Application

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  • General Information

    Organization Name:

    Primary Contact:

    Address:

    Phone Number:

    Email Address:

     

    About Your Organization

    What is your organization's mission?

    What are some activities your organization participates in?

    What would you use this grant money for?

     

    Budgeting

    Please give us a budget for this program.
     
    What percentage of your funding goes toward administrative costs?
     
    What is your annual budget?
     
    How many FTEs do you employ?
     
    How many volunteer FTEs?
     

    Community Impact

    Describe the structure of your organization and relationship to the community being served.

    Describe your target community's demographics and the demographics of the population you reach.

    If this is to fund a startup of a new program, describe how it will continue when the Survivor Circle Grant funding ends.

     
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