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Application

Step 1 of 5 - Contact Information

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  • Executive Summary

  • By typing my name below, I confirm that I am an authorized by my organization to submit this application, and that the information provided is true and correct to the best of my knowledge.
  • By typing my name below, I confirm that I am an authorized by my organization to submit this application, and that the information provided is true and correct to the best of my knowledge.
  • including the original budget and the actual revenue and expenses for that year.
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    • advising that your organization is exempt from taxes under Section 501(c)(3) of the IRS code, and that the organization is not a private foundation as defined in Section 509(a).
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      • with their affiliations.
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      • Organization Information

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      • Information for This Request

      • MM slash DD slash YYYY
      • MM slash DD slash YYYY
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      • Rochester Area Logic Model

      • ($'s, staff, volunteers, materials and other resources requitred) Quantify inputs whereer possible (e.g. "2.5 FTE social workers, 270 volunteer hours")
      • (What the program does with the inputs to achieve its outcomes) Activities should be quantified (e.g. "2 support groups/10 moms ea./2hrs/wk for 4 mos.")
      • (Effects on knowledge, attitudes, skills, behavior, condition or status during or after the program/project) Place a "*" next to those to be measured.
      • (Effects on knowledge, attitudes, skills, behavior, condition or status during or after the program/project) Place a "*" next to those to be measured.
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      • Rationale

      • present in bulleted format, and where possible, include local statistics, community priorities, etc. 1. Summarize the need for your planned work. 2. Summarize customer demand for this work.
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      • For each outcome you will track, as identified in your logic model, indicate how you will know if you succeed in achieving it, using the following format:
      • What will you measure to know if you reach your outcomes?
      • Standards/Projected levels of success. What ill tell you that you have achieved your outcomes?
      • MM slash DD slash YYYY
      • by submitting this application, you understand that this does not guarantee funding from this organization.
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