Telephone No.:__________________________________________ Contact Person & Title: ____________________________________ _____________________________________________________ Email Address:__________________________________________ Tax ID#:_______________________________________________ SPECIFIC INFORMATION (if the provided is insufficient, the following can be provided in an attachment) Funding requested from the Margaret E. Burnham Charitable Trust:_________________________________________________ Type of Use for which funding is being requested: Expected Benefits: measurable Evaluation Method: Tell us how you will regularly measure, document, and evaluate your results, (both qualitative and quantitative) and what the impact of your project will be in your community? How will you Involve those served and other organizations in the Community in your – – planning and implementation to broaden your base of support and to ensure appropriate and responsive service? How will you tell the community Market your project to being served? – –
Telephone No.:__________________________________________ Contact Person & Title: ____________________________________ _____________________________________________________ Email Address:__________________________________________ Tax ID#:_______________________________________________ SPECIFIC INFORMATION (if the provided is insufficient, the following can be provided in an attachment) Funding requested from the Margaret E. Burnham Charitable Trust:_________________________________________________ Type of Use for which funding is being requested: Expected measurable Benefits: Evaluation Method: Tell us how you will regularly measure, document, and evaluate your results, (both qualitative and quantitative) and what the impact of your project will be in your community? How will you Involve those served – and other organizations in the Community – in your planning and implementation to broaden your base of support and to ensure appropriate and responsive service? How will you tell the community – Market your project – to being served?
Application-Margaret-Burnham-Charitable-Trust.docx