Application
for Town of Sudbury Applicants
Step 1: Prepare Cover Page |
| General
Information: |
| _______________________________________________
|
| Town Department,
Commission or Committee |
| _______________________ |
_______________________ |
| Primary Applicant
Name |
Title |
| _______________________ |
_______________________ |
| Co-Applicant Name
(if any) |
Title |
| _______________________ |
_______________________ |
| Telephone
& extension (primary applicant) |
Fax (primary
applicant) |
| _______________________ |
|
| Email
(primary applicant) |
|
| |
|
| Have you
received previous Sudbury Foundation grant support? |
____ Yes
____ No |
| |
|
| If yes, please list
Date, Project Name and Amount of Funding: |
| _______________________________________________ |
| _______________________________________________ |
| Proposal
Information: |
| Total
project cost: |
_______________________ |
| Amount
requested from Sudbury Foundation: |
_______________________ |
| Proposed
time period: |
_______________________ |
| |
| Project Area (See Grant
Guidelines for descriptions): |
| ____ Youth Development
and Opportunity |
| ____ Community Building |
| ____ Preservation of Community
Character and Assets |
| ____ Organizational Capacity
and Effectiveness |
| ____ Other |
|
| |
| Project
Name: _______________________________________ |
| Project
Description: (Summarize the project in 2-3 sentences.) |
| _______________________________________________ |
| _______________________________________________ |
| _______________________________________________ |
| _______________________________________________ |
| |
| _______________________________________________ |
| Town Manager
signature and date |