Grant Application Form Page 4

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Please answer the application headings in paragraph form. If more space is needed,
you may use your own pages following this format.
2. History
Please provide us with a brief history of your organization.
3. Grant Request
Project/Program Title:
Project/Program Area: (select one):
___ Education
___Arts
___ Social
___Civic
___ Health
___Medical Research
4. Proposal
Please provide a concise description of the need or problem to be addressed. Include the
overall goals and purpose of your organization or specific department concerned, how the
funds will be used, how the objectives will be accomplished and what is unique about your
program.

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