Association/Organization Information

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Project Summary

Briefly describe the objectives of the project, program or service in one sentence here, and attach a more in depth description including results or significant achievements, and other ways in which the project reflects the above criteria.

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Number of people served by Program/Project

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Number of Association/Organization People Involved

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Project Budget

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Anything else you would like to share may be submitted on a separate sheet of paper. Brochures, press clips or any additional documentation describing the program or project may also be submitted with this application.

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