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Indigenous Human Needs Fund - Non-Profit Application

Name of Organization:

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Street Address of Organization:

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City/State/ZIP:

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Website:

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Contact Person Name:

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Contact Person Role/Title:

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Contact Person Phone:

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Contact Person Email:

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Amount Requested:

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Purpose of Funding Request:

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Desired Impact or Goal of Project:

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How would the Episcopal Diocese of the Great Lakes be engaged in or informed about this work?

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Please upload the most recent annual financial statement for the organization:

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Please upload documentary proof of organizational non-profit status:

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