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Survivor Circle Grant Application

General Information
About Your Organization

What is your organization’s mission?

What are some of the activities your organization participates in?

What would you use the 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?

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.