FY2020 Wayne Metro Seeding Wayne County

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Please complete the application in its entirety.

Applications are due by 4:00 p.m. on January 17, 2020.

Organization Name:

501(c)3 Entity

Yes No

501(c)3 ID Number (Being used for application)

Must submit IRS designation letter as proof of 501(c)3 status

Street Address

City:

Zip Code:

Organization's Phone Number:

Organization's Email

Organization's Fax Number

Amount of Organization's Annual Operating Budget

Executive Director's (ED) Name

Executive Director's (ED) Email

Contact Person for Proposal

Contact's Phone Number

Contact's Email

1. Brief history and purpose of your organization. Include mission and current goals.

Five to six sentences recommended.

2. Describe project or initiative you are seeking funding to support.

4. What is the service area of the project? (Include city, neighborhood and zip code)

5. Please list below how many adults and/or children (under 18 years) will be served with the requested funding amount during the grant period of March 25, 2020 to August 31, 2020.

3. Describe specific items for which you are seeking funding and why they are needed for project:

DOCUMENTATION

Please click here , complete and upload the budget form, checklist, and ALL other applicable documents using the Choose File buttons below.

Budget & Checklist

501(c)(3) Documentation

Financial Statement

Liability Insurance

Other

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