Program Name Date
  Application Step 4
       
 STEP 1  STEP 2  STEP 3  STEP 4
 App Questions
> Project Description
> Implementation Plan

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App Data
Title  
Summary
(100 words)
 
Application Type  
Requested Amount  
Description (500 words)  

E-mail


Application Team

Project Lead
Name
Preferred E-Mail
Preferred Phone
Agree
New Demo test@gw.com 415-555-1212 Yes

Team
Name
Preferred E-Mail
Preferred Phone
New Demo test@gw.com 415-555-1212

Organization
Organization Name and Address
Preferred Phone

Organization
Street Address
City, State 11111

415-555-1212
Project Description
 1.  How will the funds be used? (500 words maximum)
    
 2.  What is your organization's mission statement? (100 words maximum)
    
 3.  What is the primary purpose and objective of the organization? (250 word maximum)
    
 4.  Please list donors from previous 12 months and their donation range or amount. (250 words maximum)
    

Implementation Plan

 5.  Who will be served by your program or event? (Estimate the number of poeple servd and the population; 250 words maximum)
    
 6.  How will you measure success for the program or event? (100 words maximum)
    
       

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