Please select 1 of the 4 Connect Clermont Priorities that best matches your project
Please describe how your project matches the Connect Clermont Priority you selected above (no more than 1,000 characters) *
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Organization Type *
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Annual Budget of Organization *
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Budget of this particular project *
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How much ($) of this project are you expecting this grant to fund? *
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Do you have other revenue sources and/or partnerships for this project? *
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Population the project will serve/benefit? Be specific (Communities, Age Groups) (No more than 500 characters) *
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Summarize your Organization's Mission (no more than 500 characters) *
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Summarize your Organization's Goals and Objectives (Strategic Plan), overall not just for this grant project (no more than 500 characters) *
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Have you applied for grant funding from any other source and if so who/where? List the Grant, how much was applied for and the status of that grant (Pending, Approved, Denied) (no more than 500 characters) *
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Describe your plan to sustain this program post grant funding? (no more than 500 characters) *
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Please list the measures of success you will apply to gauge the efficacy of this project? You will be expected to report back to Connect Clermont specific outcomes that measure post grant success.
Measure of Success #1 *
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Measure of Success #2 *
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Measure of Success #3 (optional)
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Measure of Success #4 (optional)
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Measure of Success #5 (optional)
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If you are granted funding please describe, in detail, how that money will be used *
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Have you been awarded funding from Connect Clermont in the past? If yes, please share how that funding has impacted your organization *
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A copy of your responses will be emailed to the address you provided.