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Transurban and Fluor Capital Beltway Community Grant Program
Introduction
This application is designed for organizations interested in applying for the Transurban and Fluor Capital Beltway Community Grant Program. To be eligible for the program, organizations must meet the requirements outlined in the Transurban and Fluor Capital Beltway Community Grant Program
Overview and Guidelines
.
Please complete this form in its entirety to be considered for the Grant Program. The information collected will be used by the Grant Program Selection Committee to award grants. All applicant information will remain confidential unless permission is otherwise granted.
General Information
Program Part I
Program Part II
General Information
Applicant organization
Program title
Program coordinator/contact person
Program duration
Phone
Fax
E-mail
Web site
Location - street address, city, state, zip
What year was the organization founded?
Are you a non-profit (501 (c) 3) or a for-profit organization?
Please provide a brief description of your organization and its mission.
Program Information
Briefly describe your program.
What are your goals and objectives for the program?
Specifically, who will this program benefit?
If the program focuses on environmental sustainability, how does it enhance or protect the environment within the Capital Beltway HOT Lanes Project corridor?
If the program supports the safety, amenity, economic development or well-being of communities within the Capital Beltway HOT Lanes Project corridor, explain how.
Program Information Continued
Why would receiving a grant from Transurban and Fluor help this program to be successful?
How many members belong to the program or organization?
What is the total number of volunteer hours worked in 2010/2009 to support the program or organization?
What is the total budget for the program?
How much money are you requesting?
Specifically, how will the grant money be used?
Are there opportunities for Transurban and Fluor to contribute volunteers or other non-financial support?
What other organizations/community groups will be involved in this program?
Is there any additional information about the program or your organization that you would like to convey?
