Nonprofit Grant Application Greenleaf Media

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Organization Name:*

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Type of services your group offers?

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Do you have nonprofit status?

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Contact Name:*

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Address:*

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City:*

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State:*

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Zip Code:*

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Email Address:*

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Phone:*

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Web Address:

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Description of your upcoming project:

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Specific type of support/services requested:

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If other, explain:

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Project Timeline:

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Total Project Budget:

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Amount of grant funding requested?

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