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1. Organization/Group Name: (Required.)

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2. What year was your organization founded? (Required.)

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3. Contact Person Name: (Required.)

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4. Contact Email: (Required.)

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5. Contact Phone:

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6. Contact Mailing Address: (Required.)

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7. If your organization/group is affiliated with any school or other organization, please identify here (include website, if available):

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8. For each item relating to your organization, indicate the number of persons (input "0" if none): (Required.)

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9. Summarize the mission of your organization (100 word maximum): (Required.)

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10. Please describe your organization's most successful activities in the last 12 months. Be sure to include indicators for success such as how many people attended, media, if any, etc. If there are any links providing more information about these activities, include them here. If your organization is new, please describe the personal qualifications and experience of the organization's leaders. (Required.)

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11. Focus on one activity/event mentioned above and offer a critique of the planning, structure, and implementation of the program. Did the program achieve its goal? In hindsight, what would you do differently? Please be thorough (200 word maximum). (Required.)

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12. How did you hear about this grant?

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13. Atlas is interested in supporting student group activities that will enable young people (especially college and university students) to advance liberty. Please describe a specific opportunity for which Atlas could provide funding (partial or total funding) to organize student groups or target student audiences. For example, could a grant from Atlas help you to turn a sparsely attended event into an impressively large gathering or help to succeed with a media campaign about a key public policy issue that targets students? Be sure to be specific about your goals. Describe how your organization is well positioned to achieve them and how such a grant would enable your organization or project to become self-sustaining. (Required.)

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14. Budget: Please supply the following figures in U.S. dollars. (Required.)

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15. How will you spend the funds you are requesting from Atlas? (Required.)

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16. Has your group partnered successfully with any other organizations? If so, please list them and describe how you worked together.

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