NPACT Application
Name of Requesting Organization
Address of Organization
Contact Person
Contact Person's Title
Phone Number
Email Address
Mission Statement of Brief Overview of Organization
Please describe the needs of your organization. Include (a) how volunteers or financial assistance would meet that need; (b) the geographical areas and population served; (c) the timetable for completion; and (d) a statement of how the project is related to the JLCU position statements
Total cost of project or purchase
Estimated hours of assistance needed
Training and educational opportunities that you can provide to JLCU
Amount of funding requested from JLCU
Other Sources of Funding
Please list any previous community collaborations.
Where did you learn about this opportunity?
Upload proof of 501(c)(3) status
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