This application is for Greenwood and Abbeville Counties. You must submit two applications if you are applying for funds in both counties. You must submit an application for both Phase 37 and CARES. That means your agency may need to complete 4 applications.

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* 1. Agency Name

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* 2. Address

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* 3. County to be Served

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* 4. Phase you are applying for

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* 5. Tax ID#

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* 6. DUNS #

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* 7. Contact e-mail

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* 8. Amount of Funding Requested

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* 9. Purpose of Funding (more than one may be chosen)

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* 10. Application Submitted by

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* 11. Title

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* 12. Phone Number

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* 13. The National Food and Shelter Board will only forward funds by direct deposit into an organization’s bank account. In signing this application, you are verifying that the submitted information is correct and you understand, that if funded, you will agree to direct deposit.

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