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Edit this Header Type the organization and program name and the funder for whom it is being completed. The page # is already set at the bottom right <br />of every page. <br />ORGANIZATION: <br />PROGRAM: <br />2016/17 CORE APPLICATION TABLE OF CONTENTS <br />"X" the parts ofgrant application to indicate inclusion. Also, please put page number where the information can be located. <br />X I Section of the Proposal <br />I Pa e # <br />TABLE OF CONTENTS (check list)............................................................ <br />1 <br />PROGRAM COVER PAGE (with signatures) ................................................ <br />2 <br />A. ORGANIZATION CAPABILITY (one page maximum) <br />I . Mission and Vision of organization............................................................. <br />3 <br />2. Summary of expertise, accomplishments, and population served ........................... <br />3 <br />B. PROGRAM NEED STATEMENT (one page maximum) <br />I . Program Need Statement............................................................................... <br />4 <br />2. Programs that address need and gaps in service ............................................... <br />4 <br />C. PROGRAM DESCRIPTION (two pages maximum) <br />1. Funding priority.................................................................................... <br />5 <br />2. Description of program activities................................................................ <br />5 <br />3. Evidence that program strategy will work ...................................................... <br />5 <br />4. Staffing....................................................................................... <br />5 <br />5. Awareness of program............................................................................. <br />5 <br />6. Accessibility of program........................................................................... <br />5 <br />D. MEASURABLE OUTCOMES & ACTIVITIES MATRIX (Four outcomes <br />maximum)....................................................................................................................... <br />6-10 <br />E. COLLABORATION (one page maximum) .................................................... <br />1 I <br />F. UNDUPLICATED CLIENTS <br />1. Projections by Location............................................................................ <br />12 <br />2. Projections by Age Group........................................................................ <br />12 <br />G. FUNDER SPECIFIC REQUIREMENTS................................................... <br />13 <br />H. BUDGET (Separate MS Excel file) ............................................... <br />13 <br />0U <br />