Grant Application

Funds raised from the Troy Noon Optimists Avenue of Flags Project are available to groups or individuals who work to promote optimism in the young people of Troy. Please contact Troy Noon Optimists via email at troynoonoptimists@gmail.com with any questions.

Name of Organization:

Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Person:

First Name

Last Name

Title:

Phone:

(###)

###

####

Email:

Name of Project:

Description of Project:

Please list other sources of funding for this project:

Please indicate how you have supported or plan to support Optimist activities:

How many individuals will benefit?

Estimated Cost:

Please have documentation to support your estimated cost.

Amount of the Grant that is requested:

Will there be assets generated from funds for repeated use?

How will the project benefit the youth of Troy or the Troy community?

REQUIRED REPORT: A follow-up report stating the outcomes and actual expenses of the project will be due to the Troy Noon Optimists at the completion of the project. Future funding will depend upon our receiving this notification. Please provide a photograph of the project with the report.

Electronic Signature

Type Your Name for Electronic Signature

Date

Today's Date

YYYY

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