Date
Legal name of applicant organization
Address
Name of the Executive Director
Contact person and title (if different from the Executive Director)
Phone
Fax
Email
Website address
State the applicant's mission
Brief summary of the proposed project
Goals and objectives to be achieved by the project
Amount requested
Total annual organizational budget
Total project budget if different from the amount requested
List any previous grants from Crossroads Community Foundation in the past 5 years, and use of the funds
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