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* 1. Organization Name:

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* 2. Contact Name:

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* 3. Contact Title:

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* 4. Contact Email:

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* 5. Contact Phone:

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* 6. Project Leader (if other than contact person):

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* 7. Mailing Address:

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* 8. Please describe the app you are developing or planning to develop (be specific about functionality and content).

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* 9. Briefly explain the problem that your app will address.

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* 10. How will your app be an effective solution to this problem?

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* 11. How do you plan to develop your app? (Using products like Appmakr, contracting with third party, etc. Please be specific and identify products/third parties).

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* 12. Briefly describe what experience, if any, your organization has with app development.

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* 13. Who is the target audience and why do you believe an app is the best way to reach them?

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* 14. What is your timeline for development (please be as specific as you can)?

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* 15. How will this app be marketed/promoted (please be as specific as you can)?

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* 16. Describe your budget for creating and marketing your app.

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* 17. What amount are you requesting from Atlas that you are also prepared to match (up to $10,000)?

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