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

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
(mice, keyboards, etc). Recipient
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


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