CONWAY FOUNDATION
TOAD SUCK DAZE GRANT APPLICATION
Requesting Organization
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Brief Description of Organization
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Program/Initiative Name
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Description and purpose of program/initiative
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What is the estimated attendance for the program/initiatve
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Who is the target audience for this program/initiative
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Funding Amount Request
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Explain how the funding amount request will be used for the program/initiative
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Date of scheduled program/initiative
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location of program/initiative
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Contact
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First Name
Last Name
Title of Contact
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Organization Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Phone Number
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Format: (000) 000-0000.
Contact E-Mail Address
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Attach one reference letter of support for the grant's program or initiative
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Waiver and Acknowledgments
By submitting a grant application, you understand and agree to the timeline of a grant submission, guidelines for applying for and receiving funding and what qualifies as an eligible program and initiative.
The applicant agrees that the Conway Foundation is not responsible for liabilities, damages, or losses incurred by any participant in programs that utilize grant funds.
All programs and/or initiatives shall abide by local, state and federal laws. Furthermore, the program and/or initiative shall not discriminate based on race, religion, gender or any other protected class.
The grantor has the right to accept or reject all applications and that the submission of an application does not guarantee funding.
If funded, the funds will be used solely for the purposes described in the application. Repayment of funds may be required if purposes of use change or if recipients do not follow reporting requirements.
I understand and agree to the above stated waiver and acknowledgements.
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Signature of Applicant
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