Community Foundation of the Ozarks

Please fill out as many of the fields below which pertain to your organization and proposal.

Name of the Organization Applying:
Address 1:
Address 2:
City:
State:
Zip:
Phone:
Fax:
Contact Person:
Contact's Email:
Please Choose the Grant you are applying for:
COMMUNITY FOUNDATION OF SOUTHWEST MISSOURI
VIVIAN LEON FUND FOR THE MUSICAL ARTS
Please provide the committee with a brief (3000 character max) description of the community need/problem for which you are requesting a grant:
Please provide the committee with a brief (4500 character max) description of the project’s primary goal and expectation of project impact:
Please provide the committee with a brief (3000 character max) description of project delivery, numbers served, and collaborative opportunities:
Please provide the committee with a brief (3000 character max) itemized total project budget inclusive of the Community Foundation request, as listed below. List only numerical amounts, excluding commas, decimals and dashes. For example, $3.00 would be listed as 3, $30.00 as 30 and $300.00 as 300.

	Project Itemized Expenses	Explanation (Optional)	External Funding	Agency Funding	CFO Requested Funding	Total Item Expense
1.			$	$	$	$
2.			$	$	$	$
3.			$	$	$	$
4.			$	$	$	$
5.			$	$	$	$
6.			$	$	$	$
7.			$	$	$	$
8.			$	$	$	$
9.			$	$	$	$
10.			$	$	$	$
Total:			$	$	$	$

Please provide the committee with an abbreviated (100 word max) project summary: