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Checklist for Submission

• Please complete the following materials and return one (1) original and four (4) copies.

• Staple individually with page numbers on the bottom of each page.

• Applications are due no later than 5:00 p.m. on May 4, 2001.

b	The following items must be included with your application.
	Submission Cover Sheet & Authorization – Renewal and Competitive Applications
	Statement for Support - Renewal and Competitive Applications
	Program Narrative - Competitive Applications
	Program Outcome Plan - Renewal and Competitive Applications
	Budget Form - Renewal and Competitive Applications
	Program Revision - Renewal Applications, if applicable
	Memorandum of Understanding with Lutheran Social Services - Competitive Applications, if applicable

 

For agencies not currently funded by CSB, please provide the following:

b	The following items must be included with your application.
	IRS non-profit determination letter
	Board of Trustees Roster
	Most recent audited financial statement

For competitive applications, please check the area for which you are applying for funding:

    Homeless Prevention

    Permanent Supportive Housing for Women

    Rebuilding Lives HRS/ Resource Center

 

 

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