2010 APPLICATION FOR FUNDING FROM

AAUW - ATLANTA BRANCH COMMUNITY ACTION COMMITTEE




Organization Name and Address:_______________________________________________________________


Address:___________________________________________________________________________________        

                                                                                    

Phone Contact:_________________________

 

Amount Requested: $____________________

Date Request Made: ____________________

 

Date Funds Required:____________________

 

I.   Please attach a copy of your organization's mission statement, board of directors, and partners or affiliates.  If appropriate, please also attach a copy of the organization's 501C3.
 

II.  Description of Project

[Please include the objectives of your project, length of your project and the anticipated number of women and girls to be impacted by the project.  Use additional paper if necessary, but do not exceed two pages.]


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III.  Budget

[Provide as detailed as possible a budget for how requested funds shall be expended.  Example:  40 books @ $15.00 = $600.]


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