Applicant Information

Thank you for your interest in the 9th Grade Success Grant Program. Please submit your Letter of Intent by Wednesday, October 2, 11:59 pm.

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Name of Organization (Lead Applicant)

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Applying on Behalf of the Following School (if applicable)

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Name of Authorized Representative for Lead Applicant

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Name of Application Contact

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Contact E-mail Address

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Contact Phone Number

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I affirm that I am the named Authorized Representative from the Lead Applicant, or the Authorized Representative is aware and has approved of the intent to apply for this funding opportunity.

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