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Please complete the following survey to the best of your ability. This notice of intent will only be used for staff/peer review planning purposes. We recognize that you may change your request and program design between the time you complete this survey and when you submit your application. If that is the case, you do not need to complete a new survey.  

Completion of this survey is required to apply for funding.

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* 1. Organization Name

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* 2. Proposed AmeriCorps Project Name

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* 3. Primary Contact Information

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* 4. Are you a new, recompete, or continuation program? 

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* 5. How much federal grant funding do you anticipate requesting (an estimate is adequate)?

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* 6. Which type of grant do you anticipate applying for?

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* 7. Which county(ies) do you anticipate serving (select all that apply)?

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