Agency Name:

Address:

Contact Person (if provided):
Telephone or Email:

Assets of Agency (Useful to get a sense of what size grant to submit):

Fiscal Year _____; Amount Available for Grant _______; Average Grant Range ________;

Stated Purpose of Grant Program:

 

Subject Focus:

 

Geographic Focus (if any):

 

Organizational Focus, e.g., libraries and museums (if any):

 

Some examples of the Type of Grants Awarded:

 

 

Application Procedures (Guidelines for proposals) and Deadlines (if any):

 

 

Funding Cycle/Time Required to Consider Requests:

 

Ideas that might be attractive to this agency and fill a need for your organization:

 

 

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CONTACT RECORD:

Date:

Summary of contact: