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THE SHARED EARTH FOUNDATION APPLICATION FORM
General Information: Please provide the following:
 Date of application
Name of Organization
Address
Phone, fax, e-mail
Contact person
Amount requested
In three pages or less, provide the following information:
Description and brief history of the
501(c)(3) organization
Description of the project that the grant
will support
Qualifications for carrying out the
project
Strategy and plan of action
Duration of the project
Project’s objectives
Total project budget
Other anticipated sources of support for
this project
Supplemental Materials
Include the following information with your proposal:
 Current operating budget or most recent audited
financial statement
Proof of tax-exempt status (IRS tax-exempt
determination letter)
List the Board of Directors and senior staff
The most recent certified audit, if available
Mailing Guidelines
The Shared Earth Foundation
113 Hoffman Lane
Chestertown, MD 21620
Note: A report will be expected 11 months from receipt of
the grant.
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