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Contact Information

Organization Name

Address

City

State

Zip

Contact Person Representative

Phone

General Project Information

Project Title

Brief Description

Geographic Area Served by Project

Anticipated Project Period

Total Project Cost

Amount Being Requested

Funds Needed By

Project Details

Please list sources and amounts of firm funding for this project, to date, and other funding sources and amounts applied to for this project:

Describe any other types of support for this project other than financial (human resources, etc.)

If your fundraising plan includes diversifying from funding you may receive from Community Building Foundation, describe how.

Purpose: what will this project accomplish?

Why is this project important to your community?

How will you monitor your work and how will you measure success or effectiveness?

Approach: how do you plan to implement this project?

Collaboration: Describe any collaboration your organization is doing with other groups/individuals in our community.

Challenges: What are some of the organizational challenges you face and how are you addressing them?

Mission Match: In what ways do you feel your project reflects the mission of Community Building Foundation?

Additional Information: Please address anything else about your organization or project that you think is relevant to this proposal.

Application Requirements

In addition to the application information required on this form please supply the following via email or fax (509-838-5155):

Community Building Foundation empowers local organizations to help our community experience justice, vibrancy and sustainability.