GRANT APPLICATION COVER SHEET
JENIFER ALTMAN FOUNDATION
Managing the Barbara Smith Fund and Programs for the Starfire Fund and the Upstream Fund
PO Box 29209, San Francisco, CA 94129 PHONE: 415-561-2182, FAX: 415-561-6480, E-MAIL: info@jaf.org
Organization Legal Name_____________________________________ Date______________________
Project Contact Person_______________________Telephone_________________E-Mail _______________
Mailing Address:_________________________________________________________________________
Fax________________ Web Site of Project and/or Organization____________________________________
Fiscal Sponsor Legal Name (if applicable)__________________________________________________
Contact Person_____________________________Telephone_________________E-Mail_______________
Mailing Address_________________________________________________________________________Fax______________________Web Site______________________________________________________
Project Name__________________________________________________________________________
Goals_________________________________________________________________________________
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______________________________________________________________________________________
Objectives or Work Plan__________________________________________________________________
_____________________________________________________________________________________
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Evaluation Criteria_______________________________________________________________________
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Has this project been awarded support from other sources and/or funders?______________ If so, please list the
names of these funders and the amounts awarded:____________________________________________
Project Budget $______________Total Current Budget $_______________ Grant request $____________
Period Grant Would Cover________________________________Fiscal Year Start Date ______________
Name of person filling out this form:_________________________________ Phone:___________________
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