Community Action Grant Application Contact Information Legal Name of Organization * Organization EIN (proof of non-profit status) * Contact Person (Name and Title) Prefix First Name * Middle Name Last Name * Title Address * Apartment, Suite, etc. City * State * Zip Code * Telephone * Email Address * Organization Website Program / Service Details Program or service description * State the objectives of the proposed program or service * Who will this program serve (special populations, geographic area, community focus, organizational focus)? * What are the dates encompassed by the program/service? * E.g. specific dates, date range, ongoing/recurring schedule, etc. What are the program/service's expected outcomes? * How will you measure them? * Is this a new initiative or recurring program? Please explain. * If you receive funding from AAUW this year, you will be asked to submit a program/service assessment to receive subsequent funding. Budget Total proposed program/service budget * Please provide a detailed budget or write "See attached" and upload below. Please identify any additional sources of funding and/or fees charged for this program/service. * Total amount of grant request from AAUW State College * Authorization By providing your name or the name of the organization's executive director, my organization authorizes submission of this community grant application. Full Name * My organization authorizes the submission of this community grant application. Upload supporting documentation Optional. Max file size: 8MB Submit Application This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
