Grant

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Please type all responses in appropriate upper and lower cases. (Not all uppercase, please)

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Personal Information
First Name:		M.I.:
Last Name:
Phone Number (USA):		- -
Email:
Contact (Name of the principle investigator)
First Name:		M.I.:
Last Name:
Phone Number (USA):		- -
Email:
About the Grant
Granting agency:
What is the formal title of the project?
Time frame for the project:
Location of the project? (Be specific)
Grant Amount:		$
Do you have a photo or graphic to accompany the release? Yes No
How will this photo be delivered? (Pictures must be 200 resolution or better if emailed)
Describe in 250 words or fewer the purpose of the grant, how it will be carried out, etc.
Provide in 250 words or fewer the potential implications of the project, especially as they may relate to the average newspaper reader/TV viewer.
Press releases are routinely sent to local media organizations and the honoree's hometown. If you would like the release to be sent to other publications, please list them.
Name of publication:
Name of publication:
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