Common Grant Cover Sheet

Please feel free to make copies of this form or generate this one-page cover sheet on your computer.

NNG Common Grant Application Cover Sheet

Organization name:

Date of Application:

Address:

Telephone Number:

Fax Number:

Director:

Contact person and title (if not Director):

Grant Request: $

Period grant will cover:

Project title (if project funding is requested):

Type of request:

_ capital expenditure
_ endowment
_ general support
_ project support
_ start-up costs
_ technical assistance
_ other (please explain)

Total project budget (if request is for other than general support):

Total organizational budget (current year):

Starting date of fiscal year:

Summarize organization's mission (2-3 sentences):

Summary of project or grant request (2-3 sentences):

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