The Conservation, Food & Health Foundation

Concept Application Form (HTML)

Project Summary

1. Date:

2. . Legal name of organization and address:

3. Name and title of primary contact:

4. E-mail address of primary contact:

5. Website URL:

6. Phone number:

7. Project name:

8. Total organizational budget: $ _________ for fiscal year ending ___/___/___.

9. Project budget: ____________

10. Total funds raised or pledged: ____________

11. Grant request: ____________

12. The period this grant will cover: ___/___ to ___/___

13. Three sentences summarizing the organization’s mission:

14. Project summary/abstract:

 

 

15. List the project’s specific target population, constituents, and geographic communities:

16. For projects that do include training, state the number of persons to be trained and the length of training in days, weeks, or months:

17. List the project leaders and their qualifications:

18. List any previous support from the Conservation, Food & Health Foundation in the last 5 years:
19. Is your organization a registered charitable organization in your country? yes_____ no_____

 

 

July 25 2008 08:23 pm