WGTC Grants
Requestor Information
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First Name
Last Name
Department
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Grant Information Contact
Name:
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First Name
Last Name
Email:
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Phone Number:
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Grant Information
Name of Grant:
*
Due Date:
*
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Month
-
Day
Year
Date
Website with Grant Specifications:
*
Name of Project:
*
Amount Requested:
*
Project or Department Impacted:
*
Describe project/how funds will be used:
*
Attach Budget:
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If funded, will this grant require:
IT infrastructure additions or upgrades
Remodeling of an existing space
Hiring of new faculty/staff
Have you requested funds for this project from other sources:
Perkin's Grant
Federal Grant
Private Grant
Local Funds
Other
If yes, please list other funding sources:
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