Nonprofit Grant Application

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* denotes required field.

Organizational Information



Organizational Information


US Federal TIN or EIN*

Organization website*

Detailed Information

Mission & organizational overview*

 

Describe the population that
you
serve*

What will the computers be used for?*


# Desktops Requested*

 

# Monitors Requested*

 

# Laptops Requested*

Impact and reach*

An InterConnection Technology Grant
consists only of computers and
peripherals
(mice, keyboards, etc). Recipient
organizations
are responsible for shipping
costs – estimated
$40 per
desktop and $20
per laptop and anyadditional operating costs and maintenance.Please provide a detailed proposed budget
with the following items:
Shipping fees*
 

Annual cost of Internet Service/Electricity

 

Annual cost of IT maintenance


Budget sources*

Maintenance plan*

 

Evaluation plan*


* required field