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Legal Name of Organization:
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Address:
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City, State and Zip:
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Year Established:
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Tax I.D.#:
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Website Address:
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Person to contact regarding this Letter of Inquiry:
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Telephone:
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Are you a returning grantee?:
Funding Amount Requested:
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Which Davison Bruce Foundation Funding Priority fits your organization?(check one)
Mission Statement:more details
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Briefly describe your organization and its key programs, including target populations and service areas:
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Briefly describe your proposed project/program/service to be provided and why it is needed:
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Do you personally know any members of the Davison Bruce Foundation? * If so, please list them here:
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Authorized person completing this form:
Nameyour full name
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Title:
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Dateof appointment
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