Grant Application

To apply for a 21st Century grant from LREDA, fill out the following form completely and hit submit. Then please email an outline, samples, or other illustrations of the content of the project, clearly labeled with the Project Title and your name. You must also email a complete project budget, again including the Project Title and your name. Send this information to grants@lreda.org. Applications must be received by December 31st.

First name: *

Last name: *

Street address: *

City: *

State/Prov: *

Zip/Postal Code: *

Email address: *

Phone : *

Date of application: *

Title of project: *

Total amount of grant request: * $

Explain the type of project: *

Explain the goals and philosophy of the project: *

What need will this project fill?: *

Indicate any target groups to be served:

Describe the qualifications of the person(s) or group(s) to undertake the project: *

Provide time frame for the project including proposed completion date: *

List other funding sources currently available: *

List other funding sources being requested: *

What is the minimum grant needed to complete the project?: * $

Provide the date the funding is needed: *

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