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* 1. Applicant contact information

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* 2. Applying organization's EIN

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* 3. Briefly describe your organization's mission and purpose

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* 4. Identify any other project leads

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* 5. Give an outline of the project you plan on implementing. Please describe how it will assist with disaster preparedness in your community.

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* 6. Provide examples of projects the organization has completed in the past

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* 7. Provide the anticipated date(s) for the service project

Date
Date
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Date

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* 8. Please prepare your budget using the table on the next page, Save the page as its own document in either DOC, DOCX, or PDF format so that you can upload it into the application. To ensure file handling is smooth, use your LAST  NAME _FIRST INITIAL as the file name.

PDF, DOC, DOCX file types only.
Choose File

T