Grant Application Cover Sheet The Arnold P. Gold Foundation
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1Grant Application Cover Sheet
Check one (see
Apply for a Grant
if you are unsure):
This proposal is for a Program Grant (email proposal to )
This proposal is for a Research Grant (email proposal to )
Name of Project:______________________________________________________
Name of Organization:_________________________________________________
Name of Principal Investigator: _________________________________________
Title/Student Status:____________________________________________
Mailing Address:_______________________________________________
_____________________________________________________________
Telephone Number:_____________________________________________
Fax Number:___________________________________________________
Email Address:_________________________________________________
Additional point of contact if applicable (administrative assistants, grant managers, etc)
Name:________________________________________________________
Email Address:_________________________________________________
Phone Number: ________________________________________________
Amount Requested:___________________________________________________
Date Requested:______________________________________________________
Project Start Date: ____________________________________________________
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