Organization's Legal Name and Address:
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Organization's Telephone Number, Fax Number, E-mail and Web Addresses:
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Name and Title of the Director of Organization:
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Project Director Name and Title:
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Project Director Address (If different from above)
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Project Director Telephone and Fax Numbers:
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Project Director E-mail Address:
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PROJECT INFORMATION

Project Submission Date:
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Project Title:
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Total Project Budget:
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Amount Requested form The Tinker Foundation:
(If requesting a multi-year grant, please also specify amounts requested per year.)
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Project Duration:
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Starting Date:
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Anticipated Completion Date:
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Other Organizations Approached for Funding for This Project: _______________________________________________________________________

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