Name of Individual or Organization Applying Contact Name Telephone Number Email Address Reason/Purpose for Requesting This Grant (3 Sentences) Beginning Date of Project Ending Date of Project Are funds being requested from other sources? - Select -YesNo Funding Funding Source One Funding Source One Amount $ Funding Source Two Funding Source Two Amount $ Additional Funding Sources (Please list name and amount) Amount of Funding Requested From McDowell Grant $ Total Project Cost $ Area Served by Proposal Additional Comments CAPTCHA Submit