ECARS Grant Application

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* Required data

Applicant Organization Information:

Date of Application   
Organization Name
Mailing Address:
     Street Address *
     City *
     State *
     Zip Code *
Telephone (with area code)*    (use format of (999) 999-9999)
Primary email address *
Alternate email address  
Website URL  

Project Information:

Project Name *

Project Summary *

Project Impact *

Project Measures *
(metrics and statistics to be employed to demonstrate the impact of the project)

Key Personnel:
(Include call signs if applicable)

Organization President *
Organization Treasurer *
Project Leader *
Proposal Prepared by *
Preparer email *
Preparer telephone (with area code) *

Financial Data:

Total Project Budget (including requested grant) *
Total Grant Request Amount *
Select Excel file to upload    
(if useful to better explain the grant application)

Budget Narrative
(to include how the grant funds will be used)
Optional Additional File Uploads:
Extra File Upload #1  
Extra File Upload #2
Extra File Upload #3  
Extra File Upload #4  
Extra File Upload #5  

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