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MAKE TH~ SCENE, KEEP RAMSEY CLEAN GRANT APPLICATION <br /> <br />DATE: <br /> <br />NAME OF LOCAL ORGANIZATION APPLYING FOR GRANT: <br /> <br />PARENT ORGANIZATION, IF ANY: <br /> <br />LOCAL CONTACT PERSON: Name: <br /> <br /> Address: <br /> <br /> Phone: <br /> <br />AMOUNT OF GRANT FUNDS REQUESTED: <br /> <br />DESCRIPTION OF PROPOSED PROJECT: Detail how funds will be used, time frame of project, <br />benefits to the community, and other pertinent information. <br /> <br />ITEMIZE ALL EXPENSES: <br /> <br />NUMBER OF PROJECT PARTICIPANTS FROM YOUR ORGANIZATION: <br /> <br />NUMBER OF HOURS OF VOLUNTEER TIME PROVIDED TO THIS PROJECT FROM YOUR ORGANIZATION: <br /> <br />ARE YOU ACQUIRING MATCHING FUNDS FROM ANOTHER SOURCE? <br />SOURCE OF MATCIIING FUNDS: <br /> <br /> Contact Person: <br /> <br />AMOUNT ANTICIPATED: <br /> <br />YES NO <br /> <br />AMOUNT COLLECTED: <br /> <br />Phone: <br /> <br />FOR OFFICIAL USE ONLY <br /> <br />DATE APPLICATION RECEIVED: <br /> <br />DATE APPLICATION REVIEWED: <br /> <br />ACTION TAKEN: Approved <br /> <br />CONDITIONS APPLYING OR REASONS FOR REJECTION: <br /> <br />Rejected <br /> <br />REVIEW COI~ITf['EE: <br /> <br /> <br />