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2015 Funding Opportunity - Active Outdoor Play
Letter of Intent submission deadline: Tuesday, July 14, 2015 at 1:00 pm EDT
Email this completed form to [email protected]
Late submissions will not be reviewed. Do not include any additional attachments.
ORGANIZATION INFORMATION
Organization
Address
Website
Charitable B/N
BRIEF ORGANIZATIONAL PROFILE (100 words)
ORGANIZATION’S KEY REVENUE SOURCES (50 words) List up to 5 major funding sources
CONTACT INFORMATION
Contact Name
Title
Email
Phone
PROJECT
Project Title
Start Date
End Date
Total Time Frame Years & Months
PROJECT LEADERSHIP AND COLLABORATIONS (50 words) Please list
TARGET POPULATION AND GEOGRAPHIC REACH (150 words) including how the community will be engaged in the project
ISSUE TO BE ADDRESSED AND COMMUNITY CONTEXT FOR PROJECT (150 words)
PROJECT DESCRIPTION (350 words) Please include major project milestones and broad timelines
FUNDING REQUEST TO THE LAWSON FOUNDATION
Amount Requested
$
LAWSON BUDGET SUMMARY – Must be equal to funding request above
Expenses (no decimals)
Budget Notes
Staffing
$
Activities
$
Materials
$
Communications/ knowledge translation
$
Evaluation
$
Admin (appropriate and reasonable)
$
Other
$
Other
$
TOTAL (equal to funding request)
$
TOTAL PROJECT BUDGET – Including Lawson and any additional funding
Total project budget
$
NOTES ABOUT ANY ANTICIPATED ADDITIONAL FUNDING/PARTNERS (150 words)
RATIONALE TO FUND THIS PROJECT (200 words) i.e. How does the letter of intent address the funding criteria?