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I. CONTACT INFORMATION  
   
Name of organization:
Address:
City:
State/Province:
Postal Code:
Country:
Telephone number:
Fax number:
Website:
E-mail:
   
Founding Date
Registered NGO?
If not, please explain the organization's legal status.
Organizational Budget for Current Year in USD USD
Top five funding sources
Explain the Organizations Background:

Why was the Organization founded and by whom?

Mission and major activities?

What are the specific problems addressed and the approach or strategy to respond to these?

Major accomplishments.
How were you referred to GFC?

Please give the contact name, email, and organization.
II. PROJECT INFORMATION  
Project Name
Project Description
Describe the work or project for which you are seeking funds. What are its goals?
Project Budget for current Year in USD USD
Program Area The major support theme of the Project for which you are seeking funds.
Region
Country
Age Range Min
Age Range Max
Gender
III. PRIMARY CONTACT  
First Name
Last Name
Email
IV. EXECUTIVE DRIECTOR  
First Name
Last Name
Email