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Email Address*
Authorized Contact Person*
Purpose of Organization*
Year Founded*
Total Current
Operating Budget*
Primary Source of Funds*
Percentage of Federal Funds*
Percentage of State Funds*
Tax Exempt Under IRS?*   Pending?*  
Federal Tax ID#*
Proposed Use of Grant*
Amount Requested*
Total Project Cost*
Numbers Served*
Geographic Area Served*
Project Time Period*
Other Sources of Funds
to Support Project*
Has this organization applied for, or received a grant from MCF in the past?*  
If Yes, please give details:
IRS Letter of 501 (C)3*
(2 MB Limit)
Narrative Description*
(2 MB Limit)
Board Members List*
(2 MB Limit)
One-page Project Budget*
(2 MB Limit)
Organizational Budget*
(2 MB Limit)
Key Staff Members Involved and Qualifications*
(2 MB Limit)
By typing my initials and date, I hereby certify that the above information to be correct and that this application has been authorized by the Governing Board.
Initials*   Date*
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