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2025 HBA & Boys & Girls Club Partnership Readiness Checklist and Application
Application for Funding and Contact Info
This information will help us identify which HBAs are applying for funding and gather program point of contacts.
*
1.
Name of HBA applying for funding
(Required.)
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2.
City, State
(Required.)
*
3.
Who will be the program point person at the HBA?
(Required.)
*
4.
Is this person HBA staff or a member?
(Required.)
HBA staff
Member
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5.
Email address of point person
(Required.)
6.
Phone # of point person
*
7.
Name of partnered Boys & Girls Club. (If not known, please enter "unknown at this time".)
(Required.)
*
8.
Name of the point of contact at your partnered club. (If not known, please enter "unknown at this time".)
(Required.)
