Community Grant Template

Community Application

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Section 2

Section 3

Please list the number of staff next to each of the following

Please check off your top three challenges

Section 4

Demographics of youth in Program (please provide number for each category)

Population Male Female Total
Age of Youth Male Female Total

Section 5

Which of the following life skills/education components (not including your sports programming) does your organization provide?

Please list your top five items of need.

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