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$150 Grant Plan Submission Form
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Indicates required field
Name
*
First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email
*
Website
*
Do You Have Your 501 c 3?
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Yes
No
Pending
In What Category Would Your Organization Be?
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Youth Programs
Adult Programs
Senior Programs
Healthcare/ Medical
Educational
Rehabilitation
Religious
Development
Other
What Is Your Mission Statement?
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Who Is Your Primary Population?
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What Are Some of Your Program Activities?
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What Is Your Operational Budget?
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Under $10,000
$10,001- $50,000
$50,001-$100,000
$100,001-$500,000
Over $500,000
Amount of Your Grant Request
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How Will The Grant Money Be Used?
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Terms and Agreement: JS Crockett Consulting will seek grant proposals however the grant awards are at the sole discretion of the granting institution. The $150.00 fee is a monthly charge and may be canceled at anytime. No contract required.
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