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<br /> <br />HopeSource Youth Program Support Funding <br />Requst For Proposal <br /> <br />Name of organization: <br />Contact Name: <br />Contact Phone: <br />Contact Email: <br /> <br />Brief description of youth programs/activities your organization provides and population you <br />serve: <br /> <br /> <br /> <br />Purpose of request (Please be as specific as possible about what you are requesting and the cost <br />associated with it. Feel free to attach quotes, web pages, etc. that explain what you are proposing <br />to purchase.): <br /> <br /> <br /> <br /> <br /> <br /> <br />Dollar amount requested (the maximum award amount to be considered will be $500): <br /> <br />Would a partial funding award still be useful to you? If so, how would you modify the proposal?: <br /> <br /> <br /> <br /> <br />Number of youth impacted by your proposal: <br /> <br />If your proposal is awarded, do you agree to provide HopeSource with fiscal records (reciepts, <br />statements, etc.) that verify what the funds were used for? YES NO <br />