THE ANGUILLA COMMUNITY FOUNDATION
COMMON GRANT APPLICATION FOR FUNDING

Name of Organization:

Address:

Telephone Number:

Fax:

Email:

Web Page:

1. Are you registered as a NGO or non-profit organization? yes no
(If yes, attach documents)

2. Purpose of Organization:

3. Geographic area served: Island wide

Name of Specific Village

4. Requested Amount:

5. Total funds still required for the project:

6. Describe Project:


7. Please include your organizational budget and an audit, if available. If you are requesting project support, also include the full project budget.

8. Provide the names of other funding organizations providing
financial support for your organization. If support is required for a special project, please list other commitments for funding:



List positive social changes and effects on individuals involved in your organizational programmes and projects:



Time period grant will cover: to

Signature of Contact Person:

Name in Full (printed):

Date:

Print and Return to:
Anguilla Community Foundation
PO Box 1097, The Valley
Anguilla, BWI
497-7209 or 497-2949
Contact: Carrolle Perry Devonish


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