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Pre-application 2
Organization Name
Contact Name
Title
Contact Email
Contact Number
Which parish(es) impacted by Hurricane Ida does your organization serve? Select all that apply.
Ascension
Assumption
East Baton Rouge
East Feliciana
Iberia
Iberville
Jefferson
Lafourche
Livingston
Orleans
Plaquemines
Pointe Coupee
St. Bernard
St. Charles
St. Helena
St. James
St. John the Baptist
St. Martin
St. Mary
St. Tammany
Tangipahoa
Terrebonne
Washington
West Baton Rouge
West Feliciana
Is your organization any of the following? Select all that apply.
Designated by the IRS as a 501(c)(3) organization
A non-501(c)(3) organization with a fiscal sponsor
A tribal organization (this includes both Federally or State recognized tribes AND unrecognized tribes)
Please describe how you will incorporate our funding preferences?
Please describe the target demographic you will serve with this project
Please upload a project budget using the template provided
Please upload required financial information including your... [TBD]
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