Name of Applicant:
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Phone #:
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Email:
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Zip Code:
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Community Name:
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Population of your community:
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Proposed Grant Recipient:
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Amount Requested (up to $5,000):
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Current Level of Community Projects:
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What is your level of need for promotion of your community:
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Projects include:
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Provide a description of the status of your community in terms of your goals, accomplishments, and future plans. (1000 characters)
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Approximately how many volunteers do you have working on current community projects:
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What specifically in your community would you like to promote? Why? (1000 characters)
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How do you cooperate with other local rural communities?
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# of Signed Statements of Support?
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Statement:
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I hereby express my written support for a grass-roots community project which would encompass multiple counties throughout Central Illinois with a project goal to stregthen community engagement, encourage youth involvement, and develop economic relationships to help sustain the quality of life in our rual areas.
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Please upload supporting documents (Allowed file types: pdf, jpg, png, gif, doc, docx, txt):
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Please reselect any files you wish to upload
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