AGENCY INFORMATION
Name of Organization
Number of individuals, families or groups served in Coweta, Fayette, Fulton, Heard, Meriwether, Spalding, Troup or Clayton Counties last year:
If Yes, please provide information on number served and location.
REQUEST
State purpose of Organization/Agency Request: (Please list amount of request and specifics of how funds will be used.) Copies of bids/ estimates, invoices, project description/plans, etc., supporting your request MUST be attached. A photo from the project/program, or a relevant photo if one from the project is not available, MUST be sent to Megan Phillips via grants@utility.org for publication in order for the application to be complete.
List other sources of funding for use of request as described in the above:
How are agency’s programs measured for effectiveness?
REFERENCES
If you are human, leave this field blank.
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