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<br /> -----.----- ---- <br /> NORTH SUBURBAN YOUTH ASSOCIATION -I <br /> GRANT APPLICATION J <br /> 1751 WEST COUNTY ROAD 8, SUITE 107 <br /> ROSEVILLE, MN 55113 <br /> (612) 638.4600 <br /> I <br />ORGANIZATION/GROUP OR INDIVIDUAl. MAKING APPLICATION: I <br />DATE OF APPLICATION: <br />CONTACT NAME: TITLE: <br />AODRESS: I <br />PHONE: <br />DESCRIPTIONS OF ORGANIZATION AND/OR INDIVIDUAL BACKGROUND: I <br /> I <br />FINANCIAL INFORMATION: <br />A. Organized groups must attach a budget or financial report. The NSYA membership I <br /> will review this application based on need and fund raiaing efforts. <br />B. Individuals requaatlng funding: <br /> Identify purposa; I <br /> _ Group activity, explain <br /> _ Personal, explain <br /> _ EducatIonal (other than scholarship) .. <br /> - Other <br /> Attach detailed Information describing how the funds you are requesting will be I <br /> used. <br /> If this application is being made based on family need, provide a copy of last years I <br /> family tax return. <br />C. Organizations requesting funds: (must be youth related) <br /> Youth activity I <br />STATEMENT OF NEED <br /> Attach a detailed budget and explanation of need. I <br />AMOUNT OF MONEY REQueSTEO: I <br /> $ (ONLY THIS AMOUNT WILL BE CONSIDERED) <br /> Provide a itemized descriptIon of how the funds are to be used. (Attach three bid I <br /> proposals, If applicable. If bids are nol included with this application, explain why <br /> nolI. <br /> I <br /> .. <br /> ~ I <br />