Grant Application

Proposed Project/Program Budget

Expenses-Cost of Each Item

Cash

In-Kind

Total

Fees to Individual Contractors for Project/Program

Travel & Related Expenses

Publicity Expenses

Rental Fees

Administrative Salaries & Taxes

Materials

Other Costs (Explain)

Other Costs Description

Total Cost of Project/Program

Revenue

Cash

In-Kind

Total

Budgeted from Organization’s Operating Funds

Other Grants or Gifts (Anticipated & Received)

Earned Income from Project/Program

Total Cost of Project/Program

In-Kind Support

Cash and In-Kind Total Available

Grant Request

Total Cost of Project/Program

Organization *

Contact Person: *

Phone *

Email *

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