If working with a specific group please describe? (e.g. newcomers, pregnant moms, youth at risk) Project Details: Describe your project: How does your project connect with or strengthen other programs in your community? For each area of focus, please complete the following table: Estimated date of completion Estimate # of Single event description (dd-mm-yy) participants Start Date End Date Estimate # of Multiple event description # of sessions (dd-mm-yy) (dd-mm-yy) participants Related workshops / events Ongoing project description Start Date End Date Estimate # of (e.g. food preservation (e.g. community garden) (dd-mm-yy) (dd-mm-yy) participants workshop) Please list partners/organizations that will be involved and their contributions. Please estimate a dollar amount for each contribution (include in-kind and actual). (Note: after entering a dollar amount if your total does not update try clicking on any other grey field) Partner 1: Partner 2: Partner 3: Partner 4: Partner 5: Name: Time: Money: Supplies: Facility: Other: Total: $0.00 $0.00 $0.00 $0.00 $0.00 Amount of funding requested for project:
If working with a specific group please describe? (e.g. newcomers, pregnant moms, youth at risk) Project Details: Describe your project: How does your project connect with or strengthen other programs in your community? For each area of focus, please complete the following table: Single event description Estimated date of completion (dd-mm-yy) Estimate # of participants Multiple event description Start Date (dd-mm-yy) End Date (dd-mm-yy) # of sessions Estimate # of participants Ongoing project description (e.g. community garden) Start Date (dd-mm-yy) End Date (dd-mm-yy) Related workshops / events (e.g. food preservation workshop) Estimate # of participants Please list partners/organizations that will be involved and their contributions. Please estimate a dollar amount for each contribution (include in-kind and actual). (Note: after entering a dollar amount if your total does not update try clicking on any other grey field) Partner 1: Partner 2: Partner 3: Partner 4: Partner 5: Name: Time: Money: Supplies: Facility: Other: Total: $0.00 $0.00 $0.00 $0.00 $0.00 Amount of funding requested for project:
HTN_Application_Short_Form_2015_under_500.docx