THE MATT BLACKWELL FOUNDATION

                     RESPONSIVE GRANT APPLICATION

THE MATT BLACKWELL FOUNDATION IS A NON-PROFIT ORGANIZATION WHOSE MISSION IS TO ENRICH THE LIVES OF LANCASTER COUNTY’S YOUTH BY SUPPORTING AND ESTABLISHING PROGRAMS AND PROJECTS THAT WILL PROMOTE THEIR PHYSICAL AND MENTAL WELL BEING.

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Name of Organization: _________________________________

Contact Person:_______________________________________

Address:_____________________________________________

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Phone Number: _______________________________________

Mission of Organization: ________________________________

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Name of Project: ______________________________________

Is this a new or existing project?__________________________

Project Goals:_________________________________________

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Summary of Project: ____________________________________

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     How will the project goals be evaluated?____________________

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Amount Requested: _____________________________________

List any other funding sources:_____________________________ _____________________________________________________

                How will the Project support the Mission of The Matt Blackwell Foundation? _____________________________________________________

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Return to:    The Matt Blackwell Foundation

                    PO Box 188

                   Lancaster, SC 29721

                        803-285-6488