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Electronic Letter of Intent
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Keuka Area Fund
Mini-grant Application
Rose's Youth Philanthropists (RYP)
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Royce Youth Fund
For Grant Seekers
Mini-Grant Application

Mini-Grants: $1,000 or less

Complete this form to submit your Mini-Grant request, any time of year. Be sure to provide all the requested information. Notification of award takes approximately two weeks.

Questions? Contact the Program Officer at (607) 734-6412, or by e-mail.
Agency:
Agency Phone:
Fax:
Website:
Contact Person
Name/Title:
E-Mail:
Phone:
Program Name:
Amount Requested:
Checks should be payable to:
Mailing address for payment:
Program Description:
Project Budget: PROJECT INCOME
List each actual and/or anticipated source of funding for this project ONLY.
Funding Source Amount Funds Committed Funds Requested
Community Foundation Grant
Total Project Income $0.00    
Project Budget: PROJECT EXPENSES
List expenses for this project.
Expense Item Amount Amount of item
to be funded by
Foundation grant
Total Project Expenses $0.00 $0.00