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* 1. Executive Director/Principal/President or similar Name

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* 2. Title

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* 3. Project Director Name (if different from above)

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* 4. Contact Information

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* 5. Website Address/URL

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* 6. Federal Tax-Exempt Status (Upload letter certifying federal tax-exempt status).

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* 7. Organization's Board of Directors List

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* 8. Project Summary and Rationale (Provide a brief, general description of your project in 100 words or less).

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* 9. Type of Request

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* 10. Funding Amount Requested (in US Dollars, as a whole number, example 1000)

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* 11. In-Kind or Other Amounts Requested (Please list hours or number of volunteers or value of equipment/material donations requested).

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* 12. Funding/Donation Period (Is this a one-time request or a multi-year request?)

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* 13. Project Overview and Budget Letter of Intent

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* 14. Sustainability Plan (How will the project be sustained once LCEF funding has ended?)

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* 15. Other Comments/Requests

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* 16. How/Where did you hear about LCEF?

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