2016 AmeriCorps Planning Grant Notice of Intent to Apply Question Title * 1. Contact Person Name Title Address City State ZIP/Postal Code Email Address Phone Number Question Title * 2. Legal Applicant Information Organization Name Address City State ZIP/Postal Code Question Title * 3. Legal Applicant Type Intermediary Nonprofit National Direct Government Faith-Based School District/Office of Education Other (please specify) Question Title * 4. Focus Area Education Environmental Stewardship Healthy Futures Veterans & Military Families Economic Opportunity Disaster Services Capacity Building Question Title * 5. Type of Program Service Community & Economic Development Disaster Preparedness/Relief Health & Nutrition Youth Development Disaster Services Education Public Safety Human Needs Capacity Building Other (please specify) Done