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Southern University System Foundation 1880 Annual Fund Grant Application

Entity(Required)

Community Organization

Southern University Unit

Name of Organization(Required)

Address

City State ZIP Code

Application Date

Telephone(Required)

Email Address

Names and Titles of Individuals Submitting Request

Date Organization was Founded

Grant Category

Amount Requested(Required)

Total Organization Annual Budget

Program/Project Title

Dates of Program/Project

Enter exact date (mm/dd/yyyy) or date range

Please summarize, in a short paragraph, the purpose of your department or agency and project

Briefly explain why your department or agency is requesting this grant, what outcomes you hope to achieve, and how you will spend the funds if a grant is awarded.

Other funding sources being solicited for this program/project

Amount Requested

Amount Received

Subject Focus

Geographic & Demographic Populations Served

Budget

Expenditure Description(Required)

Amount(Required)

Expenditure Description

Amount

Expenditure Description

Amount

Expenditure Description

Amount

Expenditure Description

Amount

Expenditure Description

Amount

Expenditure Description

Amount

Please attach the following

Copy of your yearly fiscal operating budget

Max. file size: 50 MB.

Community organizations only

Copy of last year's audited financial statement

Max. file size: 50 MB.

Community organizations only

Application Signature

Signature(Required)

Date(Required)

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Southern Foundation
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