(Please print or type)
Todays date: __________________________________________________________________
State: ________________________________________________________________________
Name of person submitting form: ___________________________________________________
Telephone number: (____) ________________________ Ext.:____________________________
Revisions and Updates (Complete only those areas containing
new information.)
Name of program: _______________________________________________________________
Goal of program: ________________________________________________________________
Name of Grant Administrator: ______________________________________________________
Grant Administrators mailing address: _______________________________________________
Grant Administrators telephone number: (____) _________________
Ext.: ___________________
Grant Administrators fax number: (____) _____________________________________________
Grant Administrators e-mail address: ________________________________________________
When are funds available?________________________________________________________
How are funds publicized? ________________________________________________________
What is the funding process?______________________________________________________
What is the funding cycle/project period? _____________________________________________
What technical assistance is available? _______________________________________________
Additional information:
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Please let us hear from you! OVC is interested in your feedback!
What additional information would you like included in future editions
of the directory? Please comment below and forward to OVC. (Attach
additional pages if necessary.)
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