1. Application Overview & Applicant Information

This application has a six-step process as outlined below.

1. Applicant Information (this page)
• Organization name:
• Type of organization:
• Organization address:
• Organization website:
• Organization representative:
• Representative e-mail address:
• Representative phone #:
2. Application Information (page two)
• Project title:
• Grant amount request:
• Beginning and end dates of project period:
• Purpose of grant:
3. Organization: History / Mission (page 3)
Describe the work of your organization, addressing each of the following (200-400 words):
• Brief history
• Missions and goals
• Board roster and number of paid part-time and full-time staff
• Other work/projects (to date)
4. Project Summary (page 4)
Provide a summary of the proposed project, addressing each of the following (500-1000 words):
• Project name and timeline
• Approaches and methods of the activities planned for this project
• What the objectives of the project are, what results do you hope to achieve and who/what will benefit from the project
• Any plans for sustaining the project and for long-term sources/strategies for funding upon completion of the proposed grant
• Why this project is important
5. Project Overview (page 5)
Provide an overview of the proposed project, addressing each of the following (300-600 words):
• How the funds will be spent
• Would the project move ahead with partial funding from NIMMSA? 
• How the project fits the aims and scope of NIMMSA
• Titles, qualifications, and experience of key personnel involved in project
• Evaluation – how you will measure the effectiveness of your activities
6. Attachments (page 6)
• Detailed budget for project (mandatory)
• Resume(s) of the project leader(s) (mandatory)
• Letters of support (optional)
• Permits and permissions (when applicable)

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* Organization name:

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* Type of organization:

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* Organization address:

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* Organization website:

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* Organization representative name:

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* Representative e-mail address:

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* Representative phone #:

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17% of survey complete.

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