Name of Applicant:    MAX CHARACTERS: 150 Phone #:    MAX CHARACTERS: 30
 
Email:    MAX CHARACTERS: 150 Zip Code:    MAX CHARACTERS: 15
 
Community Name:    MAX CHARACTERS: 150 Population of your community:    MAX CHARACTERS: 8
 
Proposed Grant Recipient:    MAX CHARACTERS: 150 Amount Requested (up to $5,000):    MAX CHARACTERS: 10
 
Current Level of Community Projects:
 
What is your level of need for promotion of your community:
 
Projects include:

    MAX CHARACTERS: 900
 
Provide a description of the status of your community in terms of your goals, accomplishments, and future plans. (1000 characters)
MAX CHARACTERS: 1000
 
Approximately how many volunteers do you have working on current community projects:
 
What specifically in your community would you like to promote? Why? (1000 characters)
MAX CHARACTERS: 1000
 
How do you cooperate with other local rural communities?
MAX CHARACTERS: 1000
 
# of Signed Statements of Support? Statement:
MAX CHARACTERS: 50
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.
 
Please upload supporting documents (Allowed file types: pdf, jpg, png, gif, doc, docx, txt):
Please reselect any files you wish to upload