Contact Information

Name of Organization:


Contact Person/Title:


Address:


City/State/Zip:


Phone Number:


Fax Number:


Email:


Website:




Project Description
The following descriptions should be simple and brief not exceeding 2-3 sentences per item.


Anticipated project dates:


Total project cost:


Amount requested from DLRFF:


Specific purpose of funds requested:


Evidence of need for your project:


Plan for future funding of the project:


Other grant or funding sources:


Targeted demographic group served by the project:


If collaborative, details of collaboration:


Activities planned to meet objectives:


General description of the project :


Expected benefits and outcomes of the project:


Qualifications of key personnel involved:


How will you measure the results:


Approximate number of DeKalb County residents served by this project: