Bonita Springs Lions

BSLC Grant Request Application

Organization Information

Organization

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Pricipal Director

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Contact Person

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E-mail

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Best Phone to reach you?

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Website

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Organization Address Details

Address

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City

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State

ALAKASAZARCACOCTDEDCFLGAGUHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDMPOHOKORPAPRRISCSDTNTXUTVTVAVIWAWVWIWY Invalid Input

Zip

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Organization’s Information

Organization’s Mission

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Number of Employees

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Number of Volunteers

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Are you a 501(c)3 organization?

NO

Yes

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Grant Specific Details

Have you previously requested funding from us?

YES NO

Previous Funding Details

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Grant request is for:

General Operations

Special Project

Program

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Name of Grant

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Amount Requesting

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Total Budget Needed

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Amount Already Raised

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Grant Purpose Details

Project Description

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Number of people Served/ affected by this grant?

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Your Start Date

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Your End Date

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How should we contact you?

E-mail

Phone

Any Additional Comments?

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Your information will be presented to our grants committee and you will be contacted soon.

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