League of Women Voters Education Fund
Project Request
Application number: ____________
Date of Request_____________
Project Start Date___________
Project Completion Date _____
League of Women Voters of Rhode Island Education Fund
172 Taunton Ave., Suite 8
East Providence, RI 02914
(401) 434-6440
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LWVRI EF: Date of action __/__/__
Approved _______Denied_______(reasons attached)
Signature of Approval__________________________
LWV of ____________________________________
Contact Person ____________________________________
Address ____________________________________
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City __________________ State_____ Zip______
Phone ______________________ Fax (____)_______________________
E-mail ______________________
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I. Project Title ______________________________________________________________
On a separate sheet of paper, please describe your project: its goals and objectives, a timeline of events, other funding or sponsoring agencies, participants, and the intended result.
2. Project Budget
A. Income (List sources, including both LWV and other sources. Include in-kind expenses.)
______________________________________________
______________________________________________
______________________________________________
$ ________________(total)
B. Expenses (may be estimates)
______________________________________________
______________________________________________
______________________________________________
$ _________________(total)
C. Expected disbursements schedule (include dates and amounts and documentation)
______________________________________________
______________________________________________
______________________________________________
D. Final date for disbursements (four months after project conclusion)
______________________________________________
______________________________________________
______________________________________________
3. A Final Report (attached) must be submitted at the end of the project.
League of Women Voters Education Fund
Project Final Report
Submit report to:
League of Women Voters of Rhode Island Education Fund
172 Taunton Ave., Suite 8
East Providence, RI 02914
(401) 434-6440
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1. Title of Project ____________________________________
2. Contact person ___________________________________
Address ___________________________________
___________________________________
___________________________________
3. Phone __________________________ Fax __________________________________
E-mail __________________________
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4. Finances: (may be done on a separate sheet of paper).
A. List disbursements, including check # and approval or signatures required.
B. List of project funding (including funding from sources other than LWV).
5. Summary of project
Was the project a success? How did you measure this?
Attach copies of any reports, paperwork, publicity or agendas from the project.