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Organization Grant Application
Organizations will use this application to request funding for projects that enhance the health and well being of Harper County's residents.
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Email
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Your email
Name of organization:
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Your answer
Mailing Address:
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Your answer
Primary Contact Person
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Your answer
Contact Phone
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Your answer
Contact e mail
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Your answer
Overview of requested project:
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Your answer
Statement of need:
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Your answer
Target population served by project:
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Your answer
Budget: Please list expected expenses and total requested.
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Your answer
Will you receive other grants or funds for this project?
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No
Yes
If yes, how much and source of funding
Your answer
Narrative of how funds will be used and its impact on Harper County.
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Your answer
Impact if partially funded or not funded:
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Your answer
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