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* 1. Organization Name

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* 2. Preferred Phone Number

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* 3. Preferred Email

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* 4. Are you a 501(c)(3)?

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* 5. Councilwoman Armstrong's office is providing an opportunity for a $10,000 grant to one organization for a project that will improve infant and/or maternal health. Please tell us about your proposed project (suggested word count: 500 or less).

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* 6. What work has your organization done previously around child and/or maternal health (suggested word count: 500 or less)?

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* 7. What outcomes do you hope to achieve with your proposed project? What metrics will you use to measure success (suggested word count: 250 or less)?

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* 8. Why is this project important? What goals will it further? How will it impact the community?

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