Agriculture in the Community Grant Application
Mission Statement: " Sustaining and promoting the growth of agriculture in Knox County through education and philanthropy"
Contact Information
First Name
Last Name
Title
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
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Organization Information
EIN
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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PROJECT INFORMATION
Project Title
Project Amount Requested
Project Description- (provide objective and goals of project)
How are you affecting the Knox County Community? (target audience/community/group)
Who will be completing the project and who will be utilized to help?
How does the project tie to our mission statement? The Knox County Farm Bureau Foundation Mission Statement is "Sustaining and promoting the growth of agriculture in Knox County through education and philanthropy."
Please provide a timeline for the project including a firm start date and end date.
How do you plan on measuring the success of the project?
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Please upload the budget worksheet here.
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I hereby release the information provided in this application to the Knox County Farm Bureau Foundation for their use in awarding the Agriculture in the Community Grant. I also understand that the Knox County Farm Bureau Foundation will retain this application indefinitely and will deem the information contained in this document as confidential to all people, except those authorized to evaluate this application for purposes of awarding the grant. On behalf of my heirs, assigns, and legal representatives, do hereby release and forever discharge the Knox County Farm Bureau Foundation, any and all affiliated organizations, parents, subsidiaries, successors, assigns, directors, officers, agents, managers, members and employees from any and all claims, demands, actions or causes of action, including injury, death or damage to property, which may occur during or as a result of completion of this community project. I assume all risks associated in completion of the project listed in this application. Further, I hereby consent to the use of my name, photographs, motion pictures or other reproduction of myself by the Knox County Farm Bureau Foundation, or successors or assigns of the Knox County Farm Bureau Foundation for any purpose whatsoever, including any advertising, trade, commercial, or art purpose and use in any publication or other advertising media, including the internet, without limitation or reservation.
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