Neighborly Needs Project Fund
www.noboundariescoalition.com
P.O. Box 12825, Baltimore, MD 21217
Full Name:
Address:
Phone:
Community Member Information
First
Date:
Last
Street Address
City
M.I.
State
Apartment/Unit # ZIP Code
Email:
Project Name:
Are you a registered voter? YES
NO
Are you an active member of No Boundaries? YES
NO
Have you done community work with the applicant in the past? YES
NO
If yes, explain
If yes, are you registered at a 21217 address? YES
NO
If yes, what is the last event that you attended?
If no, what is your relationship or how did you meet the applicant?
_____
Statement of Support
Please use the next few lines to briefly explain why you support this project and how you will contribute to the success of the project if it is funded.
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this proposal is awarded, I understand that false or misleading information in my letter of support could jeopardize the outcome or impact of this community project. I understand that no portion of the grant funds will be used to directly support me or my household including but not limited to paying us a stipend or other contribution in return for this letter of support or my time in support of the grant project. I explicitly agree to receive emails, calls and/or text messages from No Boundaries Coalition through the contact methods provided above.
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