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.~ <br />Date: <br />Altamont Settlement Agreement <br />Education Advisory Board <br />PROJECT GRANT APPLICATION COVER FORM <br />Project Name: <br />Applicant's Name: <br />Amount Requested: <br />Description of Applicant: <br />^ Public Agency <br />^ Individual <br />^ Other <br />^ Public School <br />^ Private School <br />^ Nonprofit Agency <br />^ Sponsored Project by a Nonprofit <br /> Agency (complete fiscal agent <br /> information below <br />Mailing Address: <br />City: <br />Project Contact Person: <br />Title: <br />State: Zip Code: <br />Phone Number <br />Fax Number <br />Start & Completion Dates: <br />until <br />Fiscal Sponsor Information (if applicable) <br />Name: <br />Address: <br />Contact Person: <br />Title: <br />State: Zip Code: <br />Phone Number: <br />Email Address <br />Email Address: <br />