Community Grant Submittal Form Identification Organization Name: Organization Type: EIN: Organization Contact Information: General Information: Person Authorized to Sign Legal Agreements: Name: Name: Title: Title: Mailing Address: Mailing Address: E-mail: E-mail: Phone: Phone: Scope Project Location: Street Address: Zip Code: City: County: Describe the scope of the entire project:
Community Grant Submittal Form Identification Organization Name: Organization Type: EIN: Organization Contact Information: General Information: Person Authorized to Sign Legal Agreements: Name: Title: Mailing Address: E-mail: Phone: Name: Title: Mailing Address: E-mail: Phone: Scope Project Location: Street Address: City: Zip Code: County: Describe the scope of the entire project: