Type of request (check one): Note, not all funders support each type of request. Check with individual grantmaker. [ ] Capacity Building [ ] Project/Program [ ] Capital [ ] Other (explain) [ ] General Operating Support [ ] New Project [ ] Existing Project [ ] Expansion of Existing Project Project/Campaign Name: (if general operating please indicate) Proposal Summary - In 100 words or less summarize the purpose of this request. Funding Period Requested: / / through / / $ (be Amount Requested: specific) Total Project Budget for this $ $ Current Annual period: (not required if general Organizational Budget: operating request) / / through / / Organization Fiscal Year: Geographic Area(s) Served: (include specific counties) (For this project. If general operations support, for this organization.) List applicant’s membership of a giving federation: (e.g., United Way, Arts & Education Council, Jewish Federation, Earthshare Missouri) Agreement
Type of request (check one): Note, not all funders support each type of request. Check with individual grantmaker. [ ] Capacity Building [ ] Project/Program [ ] Capital [ ] Other (explain) [ ] General Operating Support [ ] New Project [ ] Existing Project [ ] Expansion of Existing Project Project/Campaign Name: (if general operating please indicate) Proposal Summary - In 100 words or less summarize the purpose of this request. Funding Period Requested: (be specific) / / through / / Amount Requested: $ Total Project Budget for this period: (not required if general operating request) $ Current Annual Organizational Budget: $ Organization Fiscal Year: / / through / / Geographic Area(s) Served: (include specific counties) (For this project. If general operations support, for this organization.) List applicant’s membership of a giving federation: (e.g., United Way, Arts & Education Council, Jewish Federation, Earthshare Missouri) Agreement
EPHT-CGA-2017.docx