05 - Laserfiche WebLink

~-=== Altamont Settlement Agreement ,~ Education Advisory Board MINI-GRANT APPLICATION Date: Project Name: Amount Requested: Applicant's Name: Description of Applicant: ^ Public School ^ Private School ^ Nonprofit Agency ^ Project sponsored by a Nonprofit Agency (complete fiscal agent information below) ^ Public Agency Mailing Address: City: State• Zip: _ Project Contact Person: Title: Phone Number: Email Address: Fax Number: Start & Completion Dates: Until: _ Fiscal Sponsor Information (if applicable) Name: Title: Contact Person: Phone Number: Email Address Address: __ State: Zin Code: ^ Individual ^ Other