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FACES of Sussex - 2010 Grant Application Form
Please be prepared to answer all application questions in one sitting. You will not be able to save some answers and then return to the application to complete it later. You will also lose any input information if you hit the "back" button.
Contact Details
Salutation:
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Mrs.
Mr.
Ms.
Dr.
Rev.
Rabbi
First Name:
Last Name:
Title:
Work Phone:
Alternate Phone:
--- Alternate Phone ---
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Email:
Organization Details
Is your organization a 501(c)3 or public agency:
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Name:
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(if different):
IRS Tax ID #:
Annual Budget:
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Technology Budget:
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Executive Director Name:
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City:
State:
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Zip:
County:
Sussex
Telephone:
Fax:
Alternate Phone:
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Business
Fax
Home
Main
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Website:
Mission:
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History:
(describe your organization's history, include date of start up and major accomplishments)
1800 characters left
Any/All prior Carl M. Freeman Foundation support and year:
1000 characters left
Funding Request Details
Project Title:
Project Purpose:
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Please choose the category that best describes your project:
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Arts/Culture
Education/Environment
Health and Human Services
Housing
Other
Project Budget:
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Requested Amount:
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$2,500
$5,000
Project or Grant Description:
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Action Plan:
(describe the specific steps that will be taken to accomplish your objectives as well as the people and/or organizations involved)
2000 characters left
Impact the grant would have on your organization:
1200 characters left
Impact the grant would have on the community you serve:
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If grant is awarded, how would the Carl M. Freeman Foundation be acknowledged: (newsletters, publications, etc.)
1000 characters left
This completes the application form; clicking the "Continue" button will take you to a confirmation screen where you can review the information you have input.
 
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