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CinemaSalem Grant Application Name of Organization_________________________________________ Address_____________________________________________________ Contact Person and Phone Number________________________________ Non-profit Status ______________________________________________ What is the mission of your organization?___________________________ ____________________________________________________________ How are you making a difference?________________________________ ___________________________________________________________ How many “stakeholders” are involved with you (staff, supporters, clients, audiences, funders, etc.)? _______________________________________ ____________________________________________________________ How do you communicate with your stakeholders?____________________ ____________________________________________________________ ____________________________________________________________ How would you use a CinemaSalem Grant?_________________________ ___________________________________________________________
One grant will be awarded each month. Please print out this form and mail it to: CinemaSalem |
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