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Project Funding Application
Project Funding Application
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Step
1
of 2
Facility
Facility Name
*
Formation Date
*
Facility Type
*
Cafe
Cafe
Church
Community Center
Computer Lab
Fire Station
Library
Police Station
Post Office
School
Special Needs
Other
Community Type
*
Rural Community
Rural Community
Urban Community
Other Type of Facility Type
*
Community Type
*
Rural Community
Urban Community
Facility Focus
*
Community Development
Homework
Printing/Binding Services
Recreation
Skill Training and Certification/ Teaching and Learning
Facility Email
*
Facility Website
Office Number (1.)
*
Office Number (2.)
Primary Contact
Primary Contact Information
*
First
Last
Title
*
Select Title
Capt
Dr
Mr
Mrs
Ms
Pastor
Prof
Rev
Sir
Position
*
Email
*
Phone (1.)
*
Phone (2.)
Would you like to add a secondary contact participants ?
*
Yes
No
Secondary Contact Information
Name
*
First
Last
Title
*
Capt
Dr
Mr
Mrs
Ms
Pastor
Prof
Rev
Sir
Position
*
Email
*
Phone (1.)
*
Phone (2.)
Would you like to add Tertiary contact participants ?
*
Yes
No
Tertiary Contact Information
Name
*
First
Last
Title
Capt
Dr
Mr
Mrs
Ms
Pastor
Prof
Rev
Sir
Position
*
Email
*
Phone (1.)
*
Phone (2.)
Next
Location
Address
*
Town/City
Parish
*
St. Catherine
St. Mary
St. Ann
Manchester
Clarendon
Kingston
St. Andrew
Portland
St. Thomas
Hanover
Westmoreland
St. James
Trelawny
St. Elizabeth
County
*
County
*
Cornwall
County
*
Surrey
County
*
Middlesex
Constituency
*
Constituency
*
Clarendon Central
Clarendon North Central
Clarendon North Western
Clarendon Northern
Clarendon South Eastern
Clarendon South Western
Constituency
*
Hanover Eastern
Hanover Western
Constituency
*
Kingston Central
Kingston Eastern and Port Royal
Kingston Western
Constituency
*
St. Andrew East Central
St. Andrew East Rural
St. Andrew Eastern
St. Andrew North Central
St. Andrew North Eastern
St. Andrew North Western
St. Andrew South Eastern
St. Andrew South Western
St. Andrew Southern
St. Andrew West Central
St. Andrew West Rural
St. Andrew Western
Constituency
*
Manchester Central
Manchester North Eastern
Manchester North Western
Manchester Southern
Constituency
*
Portland Eastern
Portland Western
Constituency
*
St. Ann North Eastern
St. Ann South Eastern
St. Ann North Western
St. Ann South Western
Constituency
*
St. Catherine Central
St. Catherine East Central
St. Catherine Eastern
St. Catherine North Central
St. Catherine North Eastern
St. Catherine North Western
St. Catherine South Central
St. Catherine South Eastern
St. Catherine South Western
St. Catherine Southern
St. Catherine West Central
Constituency
*
St. Elizabeth North Eastern
St. Elizabeth North Western
St. Elizabeth South Eastern
St. Elizabeth South Western
Constituency
*
St. James Central
St. James East Central
St. James North Western
St. James Southern
St. James West Central
Constituency
*
St. Mary Central
St. Mary South Eastern
St. Mary Western
Constituency
*
St. Thomas Eastern
St. Thomas Western
Constituency
*
Trelawny Northern
Trelawny Southern
Constituency
*
Westmoreland Central
Westmoreland Eastern
Westmoreland Western
Longitude
Latitude
Location Description
*
Tell us about any landmarks allowing us to find you easier.
Registered Entity
Entity Name
*
Entity Type
*
Church
Community Development Committee
Library
Social Development Commission
Special Institution
Training Institution
Entity Address
*
Contact First Name
*
Contact Last Name
*
Contact Title
*
Capt
Dr
Mr
Mrs
Ms
Pastor
Prof
Rev
Sir
Contact Position
*
Email
*
Phone (1.)
*
Phone (2.)
Project Request
Predicted Project Total
*
Requesting Amount
*
Applicant's Contribution
*
Uploads (Required documents)
Please upload : 1. Project Proposal, 2. Registration Document. 3. Current Water Bill. 4. Current Light Bill. 5. Organizational Chart. 6. Land Tenure. 7. Minutes/ Notes of last three meetings
Project Proposal
*
Registration Document
*
Current Water Bill
*
Current Light Bill
*
Organizational Chart
*
Land Tenure
*
Minutes/ Notes of last Three Meetings
*
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