EXIT

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* 1. First and Last name

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* 2. Mailing Address

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* 3. At what email address would you like to be contacted?

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* 4. Years of Aikido Training, Current Dojo, and Rank

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* 5. Please describe the program for which you are requesting grant support (500 words)

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* 6. How much are you hoping to receive?

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* 7. Please describe how you would spend the grant funds if your program receives them. (200 words)

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* 8. Please describe the impact these funds, if awarded, would have on your program (200 words)

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* 9. Please describe how you propose to measure this impact and report it back to us (200 words)

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* 10. If the Aiki Extensions Seed Grant Committee chooses to provide grant funding for your program, we will require proof that the funds were spent as described in your answer to question 7. Do you commit to providing that proof in a timely manner?

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