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First Name *

Last Name *

Mailing Address *

City *

State *

Zip Code *

Phone *

Your Email *

How did you hear about GUSF? *

Have you applied for a GUSF grant before? *

If yes, please give date and description of grant below.

Project Information

Project Name *

What is the goal of your project? What need does it fill? What community is it intended to reach? *

Describe your envisioned project, including collaborators, resources required, and your detailed timeline. *

How will you incorporate egolessness into your project? *

Please describe the metric that you will use to evaluate the overall success of your project. *

Money Matters

Line Item Budget *

Please include item, quantity, unit cost, and total cost where applicable. For example: Flyers (250 @ $0.20 each) $50.00, Blank CDs (50 @ $0.50 each) $25.00. Submission of separate spreadsheet with a more detailed line item budget is welcomed. After submitting this form, please email your spreadsheet as an attachment to [email protected].

Budget Narrative *

The budget narrative should describe the costs presented in the budget. Explain what the numbers mean and how they were determined.

Statement of Agreement

If I receive a Greater University Service Foundation Small Project grant, I understand that all funds will be made payable to me for the use agreed upon with the Greater University Service Foundation. I further understand that the Greater University Service Foundation retains the authority to make and award grants at its sole discretion. I am aware of the obligations expected of grantees (as described in the application). I am prepared to see that I fulfill these requirements. Except where prohibited by law, I grant permission to the Greater University Service Foundation to use my name, project, voice, accomplishments and/or project photographs for related publicity. If I receive funds, and the proposed project cannot be completed by one year from the date of my award for any reason, I agree to return all of the grant funds to the Greater University Service Foundation by one month following that date, unless otherwise agreed by the Greater University Service Foundation.

Please initial below if you agree to the above statement. *

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