ORGANIZATION OR INDIVIDUAL REQUESTING GRANT: ADDRESS: Street AddressCityPostal / Zip CodeE-MAIL:CONTACT PERSON: PHONE (DAY): Area Code - Phone Number PERSON RESPONSIBLE FOR MANAGING THE GRANT (Grant submitted by minors are to be managed with an adult): DESCRIPTION OF PROJECT: TIME FRAME FOR COMPLETION: TOTAL BUDGET FOR PROJECT: AMOUNT OF REQUEST: ARE YOU SEEKING FUNDING FROM OTHER SOURCES?YESNOIF YES, NAME THE ORGANIZATIONS AND FUNDING AMOUNT REQUESTED. (WE ENCOURAGE APPLICANTS TO PROVIDE MATCHING FUNDS OR IN-LIEU CONTRIBUTIONS SUCH AS LABOR OR MATERIALS.) IF YOU DO NOT RECEIVE FUNDING FROM THIS GRANT REQUEST, WHAT ARE YOUR PLANS? ADDITIONAL INFORMATION YOU WOULD LIKE US TO HAVE:. SIGNATURE OF APPLICANT (and supervising adult if applicant is minor): After clicking the Submit button, please print and mail a signed, completed application to: Terri Sternberg, 8 Monte Vista Avenue, Larkspur, CA 94939 SubmitReset If you have questions or would like to discuss your application feel free to contact us at email@example.com .