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Date: |
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User ID: |
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Password: |
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Organization Name:
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If USCGA
Dist.: |
Division:
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Year Organization Established: |
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Flotilla: |
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Address 1: |
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Address 2: |
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City: |
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State,
Zip: |
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Phone: |
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Email: |
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Fax: |
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Location
or Water Body: |
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Type of Organization: |
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No. of Paid Staff: |
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Is your
Organization
a Non-profit 501(C)(3)?: |
Yes
No |
No. of
Volunteers: |
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Annual Budget: |
ie 450000.00 |
- use only numbers including
decimal point and 00 |
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Organization's Website: |
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Organization
Information
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About Your
Organization: |
Please describe your organization. Tell us about the
general nature, extent and location of your group’s activities? Be sure
to explain your current boating safety or environmental activities.
(Please be specific, but concise.) |
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About Your
Project: |
Tell us about your proposed project in 350 words or
less. What do you hope to accomplish and who do you plan to reach? |
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(continued): |
Outline the steps that are necessary to complete your
project within 1 year’s time. |
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Population: |
Describe the waterway and boating population that your
project is intended to reach. |
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Material: |
If you are producing educational materials, what will be
your method of distribution? (For example: Are you mailing out
information? Handing flyers out at area events? Give us details.) |
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Maintenance: |
How do you intend to support and maintain the project if
it is selected to be a grant recipient? |
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Your Project's Budget
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Budget Tips: |
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Be sure to read the grant guidelines
to confirm that your expenses are allowable.
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If necessary, get prices for
materials or quotes from printers before completing your budget, and
provide the quotes in your application.
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Include denominations of any printed
materials – number of signs, brochures etc. that you will purchase
with funds.
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Please note that BoatU.S. Foundation
funds must be used for at least 50% of the overall budget.
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If your total budget is greater
than $4,000 indicate which budget items will be covered by BoatU.S.
Foundation funds, as well as the source of any additional funds.
Please tell us in detail
what funds will be needed to complete your project. List in-kind,
matching or other sources of funds if necessary or desired. |
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(continued): |
Has your organization
received any other grants within the past five years? (If yes, provide
details.) |
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Total Grant Amount Requested: |
ie 2250.00
- use only numbers including
decimal point and 00 |
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Project Manager
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Salutation: |
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Title: |
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First Name: |
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Last Name: |
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Phone: |
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Extension: |
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Email: |
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Official
Representative |
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Salutation: |
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Title: |
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First Name: |
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Last Name: |
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Phone: |
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Extension: |
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Email: |
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