1. No category

Janet Malser Humanities Trust
APPLICANT INFORMATION
Deadline: April 1, 2015
Or g aniz at io n
( see b elo w * ) :
Pr o j ec t Manag er ( Co nt ac t Per so n) :
Mailing A d d r ess:
Cit y / St at e/ Zip Co d e:
Pho ne Num b er :
Em ail/ Web Sit e:
Tax Exem p t Num b er :
* Or g aniz at io n Desc r ip t io n: Please at t ac h a b r ief d esc r ip t io n o f y o ur o r g aniz at io n. Inc lud e it s m issio n, m aj o r p r o g r am s
and ser v ic es, and w hat c o nst it uenc y it ser v es.
PROJECT INFORMATION
Pr o j ec t Tit le:
St ar t and End Dat es:
To t al Pr o j ec t Co st : $
A m o unt Req uest ed : $
Wo u ld y o u ac c ep t p ar t ial f u n d in g ? y es
no
Do y o u h av e f u n d s f r o m an y o t h er so u r c e? y es
no
If y es, p lease list am o u n t an d so u r c e:
Is t h is p r o j ec t c u r r en t ly est ab lish ed an d o n g o in g ? y es
no
If y es, list t h e d at es it h as b een r u n n in g an d t h e p r esen t f u n d in g so u r c e an d am o u n t ?
Please at t ach t he f ollowing:
Pr o j ec t Desc r ip t io n: In t w o t o t hr ee p ag es, p lease sum m ar iz e t he p r o p o sed p r o j ec t , y o ur g o als and o b j ec t iv es, w hen and
w her e it w ill t ak e p lac e, w ho w ill b enef it f r o m it , and ho w it w ill b e exec ut ed . A t t ac h sup p o r t iv e m at er ial o f p ar t ic ip at ing
o r g aniz at io ns, p r o j ec t m anag er ( s) , and all o t her s w ho w ill b e inv o lv ed w it h t he exec ut io n o f t his p r o j ec t .
Pr o j ec t Bud g et and Financ es: Out line and It em iz e y o ur p r o j ec t exp enses. Please g iv e a f ull ac c o unt ing o f ho w t he f und s
r eq uest ed w ill b e used . In ad d it io n, if t his p r o j ec t is c ur r ent ly ac t iv e and y o u ar e seek ing ad d it io nal sup p o r t f und ing
t hr o ug h t his Tr ust , p lease list y o ur o t her f und ing so ur c es.
Pr o j ec t Im p ac t : What c o m m unit ies w ill b e ser v ed b y t his p r o j ec t ? Who is t he t ar g et aud ienc e? Ho w d o y o u p lan t o
inf o r m t he p ub lic ab o ut t he p r o p o sed p r o j ec t and t he im p ac t it w ill m ak e o n t heir c o m m unit y ? Ho w w ill y o u ac k no w led g e
g r ant sup p o r t f r o m t he Janet Malser Hum anit ies Tr ust ?
Conf irmat ion Signat ure: Please no t e t hat t he sig nat ur es b elo w ar e p er so ns aut ho r iz ed t o at t est t o t he f ac t t hat all r eq uest s
and inf o r m at io n p r o v id ed b y t his ap p lic at io n ar e ac c ur at e and t r ue. If t his ap p lic at io n is ap p r o v ed , said p er so n w ill f o llo w all t he
g uid elines set b y t his Tr ust and ac k no w led g es t he leg al r esp o nsib ilit y o f using g r ant ed m o nies so lely f o r t he p r o p o sed p r o j ec t .
Pr o j ec t Manag er :
Sig n at u r e
Po sit io n
Dat e
Sig n at u r e
Po sit io n
Dat e
Or g aniz at io n Exec ut iv e:
FOR JANET MALSER HUMANIT IES T RUST USE ONLY
SUBMIT T ED BY DEA DL INE? YES
$
A MOUNT A PPROV ED
SIGNA T URE OF T RUST CHA IR OR A UT HORIZED MEMBER
T IT L E
DA T E
NO